Koordineytor ng Awtorisasyon ng mga Serbisyong Pangkalusugan II

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Lokasyon: Mariposa County, California; Merced County, California; Monterey County, California; San Benito County, California; Santa Cruz County, California

This opportunity is available for current Alliance regular and temporary Health Services Authorizations Coordinator I or II's and ECM Care Coordinators.

There are thirteen positions available.

Accepting applications through Monday, March 17, 2025 by 5:00pm.

We have an opportunity as a Health Services Authorization Coordinator II in the Utilization Management Department. 

ANO ANG IYONG MAGIGING RESPONSIBILIDAD

Reporting to the Utilization Management Manager of Authorizations this position: 

• Processes basic to complex incoming treatment and referral authorization requests and verifies member plan eligibility
• Performs complex research on member authorization requests

ANG IDEAL NA KANDIDATO 

• Has one year of experience working for The Alliance as a Health Services Authorization Coordinator I o any experience working as a Health Services Authorization Coordinator II or Enhanced Care Management Care Coordinator.
• Has strong interpersonal skills to provide excellent customer service and process authorization requests accurately and timely
• Has the ability to work in a team-orientated environment and interact with others showing respect and understanding
• Achievement-driven and highly responsible, with the ability to manage complex authorizations and review requests for approval with precision and efficiency.

ANO ANG KAILANGAN MO PARA MAGING MATAGUMPAY

Upang basahin ang buong paglalarawan ng posisyon, at listahan ng mga kinakailangan i-click dito.

• Kaalaman sa:
• Medical terminology or billing code procedures
• Principles and best practices of customer service
• Standard business office practices and equipment
• Kakayahang:
  • I-verify ang impormasyon sa pagiging kwalipikado gamit ang iba't ibang mga mapagkukunan ng organisasyon
  • Ipaliwanag, ipaliwanag at ilapat ang mga proseso, patakaran at pamamaraan
  • Conduct research related to authorization limits and authorization requests
  • Pay close attention to detail and utilize effective organizational skills 
  • Produce and maintain accurate records 
• Edukasyon at Karanasan:
  • High School Diploma or equivalent
  • A minimum of three years of experience in the health care field, including a minimum of one year of experience performing health services authorization coordination duties
  • An Associate’s degree may substitute for one year of general health care experience, or an equivalent combination of education and experience may be qualifying.

IBANG IMPORMASYON

• Kami ay nasa isang hybrid na kapaligiran sa trabaho at inaasahan namin na ang proseso ng pakikipanayam ay magaganap nang malayuan sa pamamagitan ng Microsoft Teams.
• Habang ang ilang kawani ay maaaring gumawa ng full-time na mga iskedyul ng telecommuting, ang pagdalo sa quarterly na mga kaganapan sa buong kumpanya o mga pulong ng departamento ay inaasahan.
• Maaaring kailanganin ang presensya sa opisina o sa komunidad para sa ilang posisyon at nakadepende ito sa pangangailangan ng negosyo. Maaaring suriin ang mga detalye tungkol dito sa panahon ng proseso ng pakikipanayam.

Ang buong hanay ng kabayaran para sa posisyong ito ay nakalista ayon sa lokasyon sa ibaba. 

Ang aktwal na kabayaran para sa tungkuling ito ay tutukuyin ng aming pilosopiya sa kompensasyon, pagsusuri sa mga kwalipikasyon ng napiling kandidato (direkta o maililipat na karanasan na may kaugnayan sa posisyon, edukasyon o pagsasanay), pati na rin ang iba pang mga salik (panloob na equity, market factor, at heyograpikong lokasyon ).

Apply for Health Services Authorization Coordinator II