Utilization Management Coordinator

Job not on LinkedIn

🔥 15 hours ago

🏄 California – Remote

🏄 California – Remote

💵 $25 - $30 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Altais

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 2019

🏥 Healthcare

👥 B2C

🧘 Wellness

Healthcare • B2C • Wellness

Altais is a California-based healthcare provider network that unifies multiple medical brands to offer coordinated primary care, urgent care, specialty services, hospitals and labs, and mental and senior health across Northern and Southern California. The organization supports physicians and care teams with technology-enabled patient portals and value-based care partnerships, serving patients directly while also working with providers and partners to improve access, affordability, and care coordination.

📋 Description

• Process all incoming authorizations received via Tapestry Link portal or OnBase • Verify eligibility or benefits and enter data into Tapestry before processing when required • Process authorizations within established Turn Around Times consistent with ICE regulations • Serve as the primary contact for internal and external customers requesting authorization information or assistance • Review authorization requests according to established review-level designations • Prepare denial letters under professional staff supervision • Provide accurate technical information to provider offices and internal customers • Contact provider offices by telephone for missing clinical documentation and document requested information in Tapestry • Cross-train with UM Coordinators to learn each process and ensure coverage • Protect the confidentiality of health records and member information

🎯 Requirements

• High school diploma • Two years previous UM experience, medical records, medical billing, or medical office experience • 2-3 years Microsoft Office programs experience required • Certificate or equivalent experience in medical terminology, CPT, HCPCS, and ICD coding required • Must maintain strict confidentiality of health records and member information • Must meet HIPAA guidelines • External hires must pass a background check/drug screen

🏖️ Benefits

• Excellent medical, vision, and dental coverage • 401k savings plan with a company match • Flexible time off • 9 Paid Holidays • Annual bonus program eligibility