Non-Clinical - Health and Information Management - Utilization Management Technician

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 and quality.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.