Top 80 Authorization care coordinator Jobs in Azusa, Ca

Authorization Care Coordinator
bServed LLC —Pasadena, CA
- $23 - $26 an hour
- Full-time
- Remote
- Computer literacy
- High school diploma or GED
- Organizational skills
4d
Breast Surgery Coordinator - Burbank Breast Care
UCLA Health —Burbank, CA
- $30.36 - $43.49 an hour
- Surgery
- Mid-level
3d
Medical Case Manager, BHI Utilization Management - Covered California
CalOptima —Orange, CA
- Weekends as needed
- Background check
- LMFT
- Microsoft Outlook
- Tuition reimbursement
- Paid time off
Remote Telehealth Coordinator, Virtual Care Center (Saturdays Required)
Alignment Healthcare USA, LLC —Orange, CA
- $41,472 - $62,208 a year
- Online Application
- Microsoft Excel
- Microsoft Outlook
- Medical office experience
Quick Apply
1d
Case Manager II
Kindred Hospital Paramount —Paramount, CA
- $51.19 - $64.92 an hour
- Master of Social Work
- Nursing
- RN License
- Health savings account
- Health insurance
Enrollment Specialist
Habitat Health —West Covina, CA
- $68,640 - $72,800 a year
- Spanish
- CPR Certification
- Current TB test
- COVID-19 protective measures
- Paid parental leave
Quick Apply
14d
Case Manager - Care Coordinator - Full Time 8 hours Days (7:30AM - 4:00PM) (Union, Non-Exempt)
USC —Arcadia, CA
- $46.00 - $76.07 an hour
- 8 hour shift
- Nursing
- RN License
- Hospital
Case Manager - Care Coordinator - Full Time 8 hours Days (Union, Non-Exempt)
Keck Medical Center of USC —Arcadia, CA
- $46.00 - $76.07 an hour
- 8 hour shift
- Background check
- Nursing
- RN License
Case Manager - Care Coordination - Full Time 8 hours Days (Union, Non-Exempt)
Keck Medical Center of USC —Arcadia, CA
- $46.00 - $76.07 an hour
- 8 hour shift
- Background check
- Nursing
- RN License
Case Manager - Care Coordination - Full Time 8 hours Day (Union, Non-Exempt)
Keck Medical Center of USC —Arcadia, CA
- $46.00 - $76.07 an hour
- 8 hour shift
- Background check
- Nursing
- RN License
Case Manager - Care Coordinator - Full Time 8 hours Days (7:30AM - 4:00PM) (Union, Non-Exempt)
Keck Medical Center of USC —Arcadia, CA
- $46.00 - $76.07 an hour
- 8 hour shift
- Background check
- Nursing
- RN License
Medical Practice Coordinator/Medical Assistant - Orthopedic
Southern California Orthopedic Institute —Burbank, CA
- $26 - $28 an hour
- Full-time
- Background check
- HIPAA
- Employment & labor law
- Health savings account
- Health insurance
Quick Apply
1d
Transplant Coordinator II - RN (Critical Care/ICU/ER RN's Required!)
OneLegacy —Azusa, CA
- $141,974.56 - $156,549.12 a year
- 12 hour shift
- Nursing
- RN License
- Mid-level
- Paid jury duty
- Mileage reimbursement
Quick Apply
Medical Supply Coordinator
Alliance Health Services, Inc. —Montrose, CA
- From $25 an hour
- Full-time
- Mid-level
- High school diploma or GED
- Home Health
Quick Apply
Patient Financial Advocates - Admitting - Full time 8 Hours Days (8:00am to 4:30pm) (Non-Exempt, Non-Union)
USC —Arcadia, CA
- $21.00 - $24.97 an hour
- 8 hour shift
- Hospital
- Medical office experience
- BLS Certification
Case Manager - Care Coordinator - Full Time 8 hours Days (7:30AM - 4:00PM) (Union, Non-Exempt)
USC Arcadia Hospital —Arcadia, CA
- $46.00 - $76.07 an hour
- 8 hour shift
- Background check
- Nursing
- RN License
Ambulatory Case Manager (Part Time, Grant Funded)
CHOC Children's —Orange, CA
- $52.93 - $87.32 an hour
- Part-time
- Spanish
- Nursing
- Microsoft Excel
14d
Case Management Coordinator
Astiva Health —Orange, CA
- $25 - $30 an hour
- Full-time
- Bilingual
- Background check
- HIPAA
- Health insurance
- Dental insurance
Quick Apply
Patient Financial Advocates - Admitting - Full time 8 Hours Days (8:00am to 4:30pm) (Non-Exempt, Non-Union)
Keck Medical Center of USC —Arcadia, CA
- $21.00 - $24.97 an hour
- 8 hour shift
- Background check
- Hospital
- Medical office experience
Family Care Coordinator (Call Center Representative)
OneLegacy —Azusa, CA
- $47,775.00 - $53,462.50 a year
- 12 hour shift
- Mid-level
- High school diploma or GED
- Typing
- Mileage reimbursement
- Health insurance
Quick Apply

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authorization care coordinator jobs near azusa, ca

Authorization Care Coordinator

bServed LLC -
Pasadena, CA

Apply Now

Job Details

Full-time
$23 - $26 an hour
4 days ago

Qualifications

Collaborate with healthcare professionals
Computer operation
Customer communication
Electronic health records (EHR) management
Maintaining patient confidentiality
Patient management software
High school diploma or GED
Desktop applications
Patient interaction
Productivity software
Medical terminology

Full Job Description

Description:

Position Title: Authorization Care Coordinator

Reports To: Director, Payer Communications

FLSA Status: Non-Exempt

THIS IS A REMOTE POSITION

JOB SUMMARY

The Authorization Care Coordinator (ACC) will monitor adherence to the hospital’s utilization review plan to ensure the effective and efficient use of hospital services and monitor the appropriateness of hospital admissions and extended stays. The ACC will complete authorizations, clinical appeals, etc. to ensure each day is authorized and has appropriate documentation. Perform various clerical tasks utilizing knowledge of office systems and procedures, facility regulations and interdepartmental functions.

Key Responsibilities:

Ensures the authorization is present for non-MediCal patients including submitting clinicals, establishing process on proper authorization intake to ensure all days are approved and paid

Calls and coordinates with all payors on additional documentation needed
Verify patient admission eligibility.
Confirm admission criteria are met per Title 22. If the criteria are not met, contact the Admitting Department and unit nurses to make necessary adjustments.
Generate monthly PI reports and communicate with providers to fulfill all requirements.
Follow up authorization from Managed Medicare, private insurance, etc.
Process adjudication responses and appeal decisions form MediCal, upon receipt to Case management, to include date stamp the date received and log all cases decisions on MediCal log.
Uses clear, concise, professional communication with coworkers, patients, all customers internal and external.
Establishes and maintains efficient methods of ensuring the medical necessity and appropriateness of hospital admissions.
Performs concurrent reviews for patients to ensure that extended stays are medically justified and are documented in patient's medical records.
Acts with a sense of urgency when performing tasks.

Requirements:

Education

Minimum

High School Diploma

Preferred

Work Experience

Minimum

Possesses skills set to provide clerical support to the Utilization Management team.
Knowledge of Medical terminology required.
Critical thinking, service excellence and good interpersonal communication skills, ability to read/comprehend written instructions, strong organizational skills, ability to follow verbal instructions, and PC (computer) skills.
A capacity to learn, synthesize, make critical judgments, work independently, place patients and families first, and collaborate with the team members.
Ability to work independently in a remote environment with minimal supervision

Preferred

Required Skills, Knowledge, and Abilities

Knowledge of health insurance plans, authorization processes, and payer requirements.
Strong organizational and time management skills in a fast-paced environment.
Effective written and verbal communication skills with patients, providers, and payers.
Proficiency with Microsoft Office, EHR systems, and insurance portals
Ability to collaborate with clinical and administrative staff while maintaining confidentiality.
Ability to problem-solve, prioritize, and adapt to changing payer guidelines and workflows.

Apply Now

Refine Your Search

authorization care coordinator jobs in azusa, ca

Authorization Care Coordinator

Breast Surgery Coordinator - Burbank Breast Care

Medical Case Manager, BHI Utilization Management - Covered California

Remote Telehealth Coordinator, Virtual Care Center (Saturdays Required)

Case Manager II

Enrollment Specialist

Case Manager - Care Coordinator - Full Time 8 hours Days (7:30AM - 4:00PM) (Union, Non-Exempt)

Case Manager - Care Coordinator - Full Time 8 hours Days (Union, Non-Exempt)

Case Manager - Care Coordination - Full Time 8 hours Days (Union, Non-Exempt)

Case Manager - Care Coordination - Full Time 8 hours Day (Union, Non-Exempt)

Case Manager - Care Coordinator - Full Time 8 hours Days (7:30AM - 4:00PM) (Union, Non-Exempt)

Medical Practice Coordinator/Medical Assistant - Orthopedic

Transplant Coordinator II - RN (Critical Care/ICU/ER RN's Required!)

Medical Supply Coordinator

Patient Financial Advocates - Admitting - Full time 8 Hours Days (8:00am to 4:30pm) (Non-Exempt, Non-Union)

Case Manager - Care Coordinator - Full Time 8 hours Days (7:30AM - 4:00PM) (Union, Non-Exempt)

Ambulatory Case Manager (Part Time, Grant Funded)

Case Management Coordinator

Patient Financial Advocates - Admitting - Full time 8 Hours Days (8:00am to 4:30pm) (Non-Exempt, Non-Union)

Family Care Coordinator (Call Center Representative)

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