Employer Industry: Healthcare Services

Why consider this job opportunity:
- Salary up to $32.55 hourly
- Opportunity for career advancement and development within the organization
- Comprehensive benefits package including medical, dental, and vision insurance
- Flexible Spending Accounts and Commuter Flexible Spending options available
- Paid Time Off, Holidays, and Paid CME Days
- Employee Referral Bonus Program and Corporate Employee Discounts

What to Expect (Job Responsibilities):
- Provide support to the Senior Care Services/PACE department in processing outpatient or inpatient referrals/authorizations
- Ensure compliance with state and federal guidelines for referral/authorization processing
- Troubleshoot and resolve issues that arise during the referral process
- Coordinate with leadership to enhance operational efficiency
- Maintain accurate records and documentation related to referrals and authorizations

What is Required (Qualifications):
- High School Diploma or equivalent required
- Minimum of 1 year of experience in a medical billing environment, preferably with pre-authorizations and reimbursement regulations
- Prior experience working in a clinic or healthcare specialty call center
- Knowledge of utilization management processing for authorization referrals
- Medical Assistant or Medical Billing Certificate preferred

How to Stand Out (Preferred Qualifications):
- Experience working with Medi-Cal, CCS, and other government programs
- Familiarity with IPA or HMO environments
- Additional certifications in relevant healthcare fields

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