About us PremierOne Plus MSO (POPMSO) is a management service organization serving the needs of providers in a managed care setting. PremierOne Plus MSO provides you with the resources and opportunity to build a rewarding career in an environment that support your success. PremierOne Plus MSO is seeking a full-time Utilization Management Coordinator to ensure high quality and efficient day-to-day operations. Duties and Responsibilities Accurately enter and maintain data related to physician referrals and authorization requests. Answer incoming calls from physicians, hospitals, healthcare providers, and other relevant parties. Follow up on pending referrals and authorization requests to ensure timely processing. Contact physician and provider offices to obtain required medical records and supporting documentation. Educate and assist providers as needed regarding referral and authorization processes and requirements. Verify member eligibility and applicable information prior to processing authorization requests. Maintain the confidentiality and security of protected health information (PHI) in accordance with company policies and applicable requirements. Check, send, attach, organize, and manage faxes for the Utilization Management department. Maintain accurate and organized records related to referrals, authorizations, and supporting documentation. Communicate information accurately and clearly with physicians, providers, and internal staff. Perform other related duties as assigned. Qualifications and Skills Proficiency with Microsoft Office and basic computer applications. Excellent verbal and written communication skills, including proper grammar, spelling, and punctuation. Ability to communicate information accurately, clearly, and concisely. Fluent in English, including strong reading and writing skills. Demonstrates sound judgment and the ability to apply common sense when handling routine work situations. Ability to follow written and verbal instructions accurately and consistently. Strong attention to detail and ability to identify important or time-sensitive information. Ability to consistently meet quality, accuracy, productivity, and turnaround-time expectations. Comfortable using a computer, keyboard, mouse, email, and internet-based systems. Strong keyboarding skills and ability to type accurately and efficiently. Ability to use internet search tools to locate physician and provider information, including office telephone numbers, fax numbers, addresses, and other relevant contact information. Ability to handle confidential information appropriately and maintain professionalism when communicating with healthcare providers and other parties. Ability to work independently, use sound judgment, and recognize when clarification or additional information is needed before proceeding. Ability to prioritize tasks, manage multiple requests, and meet deadlines while maintaining accuracy and attention to detail. Benefits Vacation time Paid sick days Paid major holidays Medical, dental, and vision insurance Schedule Monday to Friday (all days)

Full-time :

8:30 AM to 5:30 PM (whole duration, 1-hour lunch in between) Salary Starting rate is negotiable depending on relevant and exact experience

Job Type:

Full-time Pay:

From $20.00 per hour

Benefits:

Dental insurance Health insurance Paid time off Vision insurance Application Question(s): Do you have medical terminology experience? If so, how long? Ability to

Commute:

Buena Park, CA 90620 (Required)

Work Location:

In person