Rancho Cucamonga, CA, 91737, USA
18 hours ago
Utilization Management Coordinator - Remote - MUST Live Near Rancho Cucamonga
Position Details: + Job Title: Utilization Management Coordinator + Location: Remote (must reside within 30 miles of Rancho Cucamonga, CA) + Pay Rate: USD $23.98/Hr + Shift: Day shift (specific hours to be determined) Key Responsibilities: + Monitor the Right Fax Server to ensure all referrals are processed timely and meet compliance standards. + Verify completeness of referral forms, gather missing demographic information, and make initial attempts at coding referrals. + Maintain accuracy in authorizations of referrals at the UM Coordinator level. + Represent the organization professionally while handling calls for the Utilization Management Department. + Collaborate with Utilization Management Nurses to communicate with providers about authorizations, modifications, denials, and other pertinent matters. + Assist Management and Utilization Management Nurses as needed. Position Highlights: + Opportunity to work remotely with flexible scheduling options. + Engage in meaningful work that directly impacts patient care and service efficiency. Required Skills & Qualifications: + Minimum of three years' experience in data entry or coordination roles - within a medical or health-related field. + High school diploma or GED. + Proficiency with ICD-9/10 and CPT codes. + Experience in managed care or physician office settings. + Strong computer skills, including proficiency in word processing, databases, and spreadsheets. + Excellent customer service abilities. Pay and Benefits The pay range for this position is $23.98 - $23.98/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: • Medical, dental & vision• Critical Illness, Accident, and Hospital• 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available• Life Insurance (Voluntary Life & AD&D for the employee and dependents)• Short and long-term disability• Health Spending Account (HSA)• Transportation benefits• Employee Assistance Program• Time Off/Leave (PTO, Vacation or Sick Leave) Workplace Type This is a fully remote position. Application Deadline This position is anticipated to close on Mar 15, 2025. About TEKsystems: We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company. The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
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