**Job Title: Utilization Management Outpatient** **Duration: 6 months** **Location: Rancho Cucamonga, CA (Hybrid, Twice in a month)** **Pay rate: $23.98/hr.** **We are looking for an Utilization Management Outpatient** **to join one of our Fortune 500 Healthcare clients.** **Key Responsibilities:** + Responsible for monitoring the Right Fax Server. Ensuring all referrals are processed in a timely manner and ensuring compliance with appropriate turnaround timeframes. + Responsible for checking the referral form for completeness, obtaining missing demographic information as needed, and initial attempts at coding any uncoded referrals. + Responsible for meeting accuracy standards for appropriate authorizations of referrals at the UM Coordinator level. + Responsible for representing the Inland Empire Health Plan in a friendly and professional manner while answering the calls for the Utilization Management Department. + Communicate with providers in consultation with the Utilization Management Nurse, regarding authorizations, modifications, denials, and other matters pertinent to processing authorization requests or other UM related correspondence. + Assist Management or Utilization Management Nurses as requested. **Qualifications:** **Education & Experience** + Minimum of three (3) years of experience as a data entry specialist or coordinator + High school diploma or GED required **Key Qualifications** + Requires knowledge of ICD-9/10 and CPT codes + Managed Care or physician office a must + Skilled in computer applications, including word processing, database, and spreadsheets + Good customer service skills **We are looking for the candidate who are eligible to work with any employers without sponsorship** . If you’re interested, please click **“Apply”** button. If you are not available or this job is not a good fit at present, please share the job details with your friends/colleagues and let me know if anyone is interested. ManpowerGroup is committed to providing equal employment opportunities in a professional, high quality work environment. It is the policy of ManpowerGroup and all of its subsidiaries to recruit, train, promote, transfer, pay and take all employment actions without regard to an employee's race, color, national origin, ancestry, sex, sexual orientation, gender identity, genetic information, religion, age, disability, protected veteran status, or any other basis protected by applicable law.