Job Information
ManpowerGroup Temporary Coordinator - Utilization Management Outpatient in Rancho Cucamonga, California
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.
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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.