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Medica Talent Group

UM Coordinator

Career Insights for Eligibility Specialist

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What they do

An Eligibility Specialist provides assistance and information for people who apply for a government benefits program or health care program. Answers questions, assists with an application process, and reviews applications and relevant background information to determine eligibility. May assist eligible applicants with enrolling in a program.

$54,990 / year median in California

+4% projected growth

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Job Description

UM Coordinator Medica Talent Group Montebello, CA Job Details Full-time $24 - $25 an hour 16 hours ago Benefits Health insurance Dental insurance Vision insurance Life insurance Retirement plan Qualifications Health insurance authorizations Medicare Utilization review Insurance verification Managed care High school diploma or GED Medicare regulations Case management Utilization management Resource utilization in healthcare Medicaid regulations Medicaid Full Job Description Medica Talent Group is excited to share this temporary opportunity! We partnered with a prominent healthcare organization based in Montebello, CA to fill a UM Coordinator position. Please consider applying if you come with a minimum of 2 years of Utilization Management and Prior Authorization experience.
Job Details Title:
UM Coordinator Schedule:
Monday - Friday, 8AM to 5
PM Assignment Length:
Temp to hire (based on performance and need)
Location:
Montebello, CA (onsite)
Compensation:
$24 - $25/hr Job Overview This position has primary responsibility for gathering relevant information for the identified member population during assessment, care planning, interdisciplinary care team meeting, and transitions of care. This position performs trouble-shooting when problems situations arise and takes independent action to resolve complex issues. Qualifications 1. High School Diploma or equivalent required. 2. Prior experience working in a clinic/health care call center. 3. Minimum 2 years of experience working in a health care environment; knowledge of prior authorization and case management regulations governing Medi-Cal, Commercial, Medicare, CCS, and other government and commercial programs. 4. Prefer experience in a managed health care environment, preferably IPA, HMO, or Health Plan. 5. Prefer experience working with an ethnically diverse population.
Job Type:
Full-time Pay:
$24.00 - $25.00 per hour
Benefits:
Dental insurance Health insurance Life insurance Retirement plan Vision insurance Application Question(s): Do you have knowledge of prior authorization and case management regulations governing Medi-Cal, Commercial, Medicare, CCS, and other government and commercial programs?
Education:
High school or equivalent (Required)
Experience:
Prior Authorization:
2 years (Preferred)
Utilization Management:
2 years (Preferred) Ability to
Commute:
Montebello, CA 90640 (Required)
Work Location:
In person