We have an immediate need for a qualified Authorizations
Assistant with concurrent review experience to provide office and
referral management support to inpatient Case Managers.
? Receive inpatient requests via fax, phone, or electronically and
enters data of the new case information into the medical management
? Assist the inpatient Case Manager in gathering medical records,
obtaining appropriate coding for diagnosis and procedures,
discharge dates, dispositions, and conducts follow up phone calls
per concurrent review team standards.
? Provide effective, efficient and courteous interaction with
facilities, providers, members and their family, under the
direction of a Registered Nurse.
? Other administrative assistance as needed
? 2 years of Concurrent Review / authorizations experience
? Hospital background helpful
? Knowledgeable in Concurrent Review protocols pertaining to
? Ability to communicate effectively; both verbally and in
? Well versed in Medical terminology.
? ICD-9/ICD-10 coding.
? Medi-Cal benefits and regulations knowledge
? Computer literate
? Bilingual English / Spanish a plus
? High school diploma or equivalent required
If you meet the above qualifications, please submit your resume for
We are an equal employment opportunity employer and will consider
all qualified candidates without regard to disability or protected