Judge Healthcare is seeking a Medical Authorization Assistant in Orange, CA!
Contract: 6 months
Hours: Business hours, Mon-Fri
Position Responsibilities:
The Medical Authorization Assistant will provide office and case management support services by serving as a contact between members, physicians, nursing home facilities, community-based organizations, providers and Health staff.
The incumbent will complete initial intake of information, assist with authorization functions and gather information.
The incumbent will perform under the direction of the licensed Medical Case Managers, Social Workers, Program Mangers and department managers.
The incumbent will perform medical administrative and/or routine tasks specific to the assigned program and may also perform office support functions.
The incumbent will provide effective and efficient communication with the utmost courtesy in every interaction with our Health members, employees and other customers.
Receives cases via mail, fax, phone or electronically and enters data for new case information into the medical management systems.
Conducts individual interviews with Health members and/or providers to obtain intake information and gather data.
Works with the Medical Case Manager to authorize requested services according to department guidelines and verifies eligibility through the state systems.
Contacts the health networks and/or Health's Customer Service department regarding health network enrollments, changes in address and primary care provider.
Assists in gathering medical records, obtaining appropriate coding for diagnosis and procedures and follows up on phone calls.
Minimum Qualifications:
High School diploma or equivalent.
2 years of experience in a healthcare or managed care setting.
An equivalent combination of education and experience sufficient to perform the essential duties of the position.
Preferred Qualifications:
Experience in medical billing and coding.
Certified Medical Assistant (CMA) certification.
Experience in utilization management.
Bilingual in English and one of the following languages (Arabic, Farsi, Chinese, Korean, Spanish, Vietnamese).
If this sounds like something you'd be interested in hearing more about, please apply directly!
