Utilization Management Tech

Location: Remote (UCLA will provide necessary equipment)

Shift: M-F 8-5 PST

Duration: 13 weeks

Bill Rate: $42/hour



Required Experience:

Coordinator experience, Health Plan Experience, EMR experience, EPIC preferred

Job Description:

You will receive urgent, routine, pre-service, and retro authorization requests, as well as process prior authorization requests with accuracy and timeliness. This will involve the use of various business applications to perform analysis, obtain information, and enter prior authorization data necessary for claims adjudication. You will use your critical thinking skills to identify missing information and make prior authorization processing determinations based on clinical protocols and other guidelines. You will also interact with internal and external customers to provide and obtain information and ensure the delivery of outstanding service...