CALAIM AUTHORIZATION COORDINATOR
Libertana
- CALAIM AUTHORIZATION COORDINATORHybrid • Sherman Oaks - Sherman Oaks, CA 91411## OverviewSalary Range$24.00 - $25.00 Hourly## DescriptionPOSITION SUMMARY:The Transitions Auth Coordinator is responsible for managing the intake of new members, processing billing and authorizations, and supporting various administrative functions for the CalAim departments.ESSENTIAL DUTIES AND RESPONSIBILITIES:The following is a representation of the major duties and responsibilities of this position. The agency will make reasonable accommodations to allow otherwise qualified applicants with disabilities to perform essential functions.1. Tracks and ensures referrals are processed within the time frames stated in the CalAim/CCT contract expectations.2. Fields incoming calls and makes outgoing calls to all potential members.3. Reviews and compiles intake documents to ensure paperwork is properly completed and submitted to Health Plans for authorization4. Tracks and update authorization status for new members.5. Performs eligibility screener in compliance with CalAim/CCT policies and procedures.6. Works with other departments to identify gaps in care for members and generate internal referrals.7. Uses the different Managed Care Provider (MCP’s) portals to submit authorization and reauthorizations requests for all CalAim services.8. Has a clear understanding of services provided under CalAim (ECM and CS) and CCT with the ability to clearly communicate them to potential members.9. Creates patient charts and uploads referral and authorization documentation into the EMR system.10. Processes approved authorizations and coordinates follow up activities for Case Managers11. Provides updates to external care partners regarding patient status and/or other relevant information.12. Completes CCT, CS, ECM visit logs and works through integration logs as needed.13. Assists with completing DHCS CCT forms (ITCP, FTCP, DTRF) based on the RN assessment.14. Assists in completing weekly and monthly CalAim MCP reports on CS Communications Log, CS Return Transmission File (RTF) and ECM Return Transmission File (RTF) & ECM Outreach Transmission File (OTF).15. Conforms to all agency policies and procedures.16. Maintains/conserves confidentiality of patient and agency information always with HIPAA regulations.17. Regularly attends and participates in scheduled case conferences, staff meetings and agency in-services.18. Follows policies and procedures as per Employee Handbook.19. Maintains all required credentials up to date.20. Reports Fraud and Abuse.21. Knowledge of mandated reporting.22. Conducts timely recording and/or documentation of client contact.23. Performs other duties as assigned.## QualificationsQUALIFICATIONS:1. Bachelor's degree in Healthcare Administration, Business Administration or related field preferred.2. Has adequate computer experience in Microsoft Word and Excel.3. 2+ years of Administration experience.4. Is at least 18 years of age.5. Excellent communication skills and ability to engage others.6. Proper phone etiquette.7. Experience in working with electronic healthcare systems.8. Experience with developing reports.9. Strong organizational and follow up skillsPHYSICAL REQUIREMENTS:* Stand, sit, talk, hear, reach, stoop, kneel and use of hands and fingers to operate computer, telephone, and keyboard on a frequent basis, up to 75% of the time.* Close vision requirements due to computer work.* Light to moderate lifting may be required up to 25lbs.
- J-18808-Ljbffr Libertana
Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the CALAIM AUTHORIZATION COORDINATOR in Sacramento, CA vacancy
$10 - $13 per hour
...Co-Living is seeking an Intake & Prior Authorization Specialist to help convert incoming healthcare... ...combines relationship-building, intake coordination, eligibility verification, prior... ...Knowledge of California Medi-Cal and/or CalAIM Community Supports. Experience with...SuggestedFull timeFor contractorsHome officeMonday to Friday- CommonSpirit Health seeks a Pharmacy Coordinator Ambulatory Clinic to support access to medications for ambulatory patients, interfacing... ..., payers, and assistance programs. You will process prior authorizations and help patients navigate drug assistance and insurance...SuggestedRemote jobWork from home
- ...detail-oriented candidate to manage patient registrations and surgical scheduling. You will verify funding, respond to inquiries, and coordinate with off-site physician practices to ensure smooth workflows. Experience with hospital registration systems and MS Office is...SuggestedWeekend workAfternoon shift
$27.44 - $32.63 per hour
...professional growth across the state. JR 5868 Residential Coordinator - Fontaine Inn San Jose, CA 95121 Salary: $27.44 to $32.... ...coverage EMPLOYMENT ELIGIBILITY Applicants must be authorized to work for any employer in the U.S. We are unable to sponsor...SuggestedHourly payPermanent employmentFull timeInterim roleWork at officeLocal areaWork visaShift work- ...world. Join us.Job DescriptionAECOM is seeking a Rail Systems Coordinator for one of our offices in Sacramento but preferribly in Fresno... ...among design-build teams, project management consultants, and Authority staff to resolve technical issues, manage system interfaces, and...SuggestedTemporary workWork at officeLocal areaWorldwideFlexible hours
AECOM
Sacramento, CA13 hours ago $100k - $175k
...MEP Coordinator Are you bored in your current position and are looking for growth and opportunities? Look no further! We are a thriving... ...is an equal opportunity employer. All applicants must be authorized to work in the United States. H1B visa sponsorship is available...Full timeContract workH1bWork at officeVisa sponsorshipS+B James Construction
Sacramento, CA2 days ago- ...seeking an organized, responsive, and detail-oriented Dispatch Coordinator to support the daily coordination of shipments, drivers,... ...information. Assist with coordinating alternative arrangements when authorized. Maintain documentation of operational issues and resolutions...Local areaImmediate start
Mamba Logistics, Inc.
Sacramento, CA1 day ago - ...BIM Coordinator We are currently seeking resumes from qualified, responsible, self-sufficient, energetic BIM Coordinators for our Sacramento... ...and Digital Delivery Platforms: Experience with client or authority standards, ProjectWise CDE workflows, iTwin, Navisworks,...Temporary workWork at officeFlexible hours
TYPSA, Inc.
Sacramento, CA13 hours ago $39k - $49.4k
...Become a part of our caring community As a remote Referrals Coordinator, you will report to a Supervisor of Referrals. You will... ...- National Background Investigation Services) ~ HGB is not authorized to do work in Puerto Rico per our government contract. We are...Full timeContract workTemporary workApprenticeshipInterim roleRemote workWork from homeHome officeShift workHumana
Sacramento, CA2 days ago$28 - $36 per hour
...Clinic Referral Coordinator Salary Range: $28.00 - $36.00/hourly depending on experience & location Location: Remote (prefer... ...related services. The role supports continuity of care, prior authorization management, scheduling, and exceptional patient experiences...Hourly payWork at officeRemote work$18 per hour
...mission. Stay for the culture. What You’ll Be Doing: The Coordinator, UM Intake at Evolent provides support to the Utilization... ...our daily operations this individual also works with our prior authorization and clinical review teams. Opportunities to work collaboratively...Full timeImmediate startRemote workWork from homeEvolent
Sacramento, CA4 days ago$35 - $50 per hour
...comprehensive wellness programs to continuous learning opportunities, we invest in your growth and well-being. OVERVIEW: The VDC Coordinator supports project coordination activities by participating in BIM coordination meetings, tracking design conflicts, and assisting...Temporary workFor contractorsRoyal Electric
Sacramento, CA14 days ago- ...seeking a paid Legislative Intern/Youth Advisory Council (YAC) Coordinator. The in-person student internship position is based in... ...of International Credential Evaluators, Inc. ( AICE ). Work Authorization Requirement Applicants must be legally authorized to work in...Daily paidTemporary workInternshipLive inWork at officeLocal areaRemote workFree visaFlexible hours
$22.68 - $30.04 per hour
Posting Details Position Information Job Title Insurance Coordinator Union Level Department Dental Administration Campus Sacramento... ...offer of employment are required to execute a release and authorization for a background screening. AB 810 Misconduct Disclosure Requirement...Hourly payFull timePart timeWork at office$9,754 per month
...day, 5 days a weekSalary: $9,754 to $13,114 per month DOE\n The Coordinator of Safe Schools plays a key role in supporting safe, prepared,... ...maintain department programs, systems, and annual budgets; authorize expenditures in accordance with established guidelines.\n22. Perform...Work at officeLocal areaTrial periodFCUSD
Rancho Cordova, CA6 days ago$34.14 - $42.67 per hour
...projects nationwide. Job Description Summary: The Aerial Survey Coordinator will perform a variety of administrative tasks to support... ...coordinate. Strong ability to multi-task. Applicants must be legally authorized to work in the U.S. without requiring employer sponsorship...Remote jobHourly payWork at office$26.64 - $31.68 per hour
Residential Coordinator San Jose, CA 95125 Salary: $26.64 to $31.68 per hour Pay Frequency: 24 Pay Periods Per Year Employment Type: Full... ...coverage. Employment Eligibility Applicants must be authorized to work for any employer in the U.S. We are unable to sponsor...Hourly payPermanent employmentFull timeInterim roleWork at officeLocal areaWork visaWeekend work$3,861 - $4,839 per month
...permanent. The California Department of Justice seeks to hire a POD Coordinator (Analyst II) to join a “POD” of legal support personnel to... ..., and mastering applications like Word, Legal MacPac, Best Authority. Prepares and processes legal documents for filing in all state...Permanent employmentFull timeTemporary workTraineeshipSeasonal workWork at officeRemote workMonday to FridayShift work- Position Overview: The Revenue Cycle Coordinator is responsible for managing the revenue cycle, which is the process of generating,... ...providers to obtain necessary medical documentation, referrals, or authorizations required for claim processing and reimbursement. Discusses...Flexible hours
- PDS Health in Rancho Cordova, CA seeks a Healthcare Coordinator to partner with supported dentists and help patients commit to treatment... ...include mastering the PDS system, obtaining insurance pre-authorizations, participating in daily huddles, and upholding company...
- ...and tissue donation, and we want professionals on our team that will embrace this important work!! The Birth Tissue Coordinator will obtain authorization from a new mother (after cesarean delivery) to recover donated placenta. Strong interpersonal skills and the ability...Hourly payTemporary workLocal areaMonday to Friday
$55k - $65k
...looking for a high-energy, results-driven and innovative HR Coordinator. The role is a perfect launch pad for someone interested in a... ...work related business if necessary Must have unrestricted work authorization to work in the United States Must be 18 years or older Hybrid...Work experience placementWork at officeLocal area- ...characteristic protected by law. Basic Qualifications: Must be a U.S. Citizen or National of the U.S., an alien lawfully admitted for permanent residence, or an alien authorized to work in the U.S. for this employer. #J-18808-Ljbffr United Parcel Service Sweden AktiebolagPermanent employmentPart timeSeasonal workWork at officeLocal areaFlexible hours
$5,823 - $5,940 per month
...Time The Office of the Registrar is seeking an Articulation Coordinator to support the development, implementation, maintenance, and... ...of the application process must also sign a release form that authorizes the release of information by the applicant’s current and/or...Full timeWork experience placementWork at officeImmediate start$21 - $29.25 per hour
Overview The primary role of the Healthcare Coordinator (HC) is to partner with supported Dentists to help gain a financial commitment... ...to starting treatment Obtain necessary insurance pre-authorizations for patients who need this prior to completing treatment Ensure...Hourly payWork at officeLocal areaFlexible hoursDay shift$26 - $29 per hour
## Grants Management Coordinator, Resource Development## 100% Remote within California, Must reside in CaliforniaThe Foundation for California... ...letters, coordinating grant agreement reviews, securing authorized signatures in compliance with FoundationCCC policy,...Hourly payWork experience placementWork at officeRemote workFlexible hours$29.75 - $36.33 per hour
...professional growth across the state. JR 5823 Problem Solving Coordinator - Prevention Los Angeles, CA 90805 Salary: $29.75 to $36.33... ...insurance coverage EMPLOYMENT ELIGIBILITY Applicants must be authorized to work for any employer in the U.S. We are unable to sponsor...Hourly payPermanent employmentFull timeInterim roleWork at officeLocal areaWork visaMonday to Friday- ...support the efforts pharmacy department in the development, coordination and maintenance of the health plan's pharmacy program. Education... ...respond to provider and pharmacy calls regarding the prior authorization and formulary process Perform review of pharmacy and...
- ...Deputy Chief of Law Enforcement, the Assistant Chief serves as a coordinator or liaison for Statewide Law Enforcement Mutual-Aid, Search... .... Sworn officers of Cal OES/Law Enforcement Branch (LEB) are authorized to exercise the full range of peace officer powers pursuant...Work at officeLocal areaImmediate startRemote workRelocationFlexible hoursNight shiftWeekend workAfternoon shift
- ...Infusion Care is looking for an experienced and motivated Intake Coordinator to join our dynamic team! The Intake Coordinator role is a... .../non-coverage information and initiation/extension of authorizations. The perfect candidate should have outstanding communication...Full timeWork at officeRemote workWork from home
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to CALAIM AUTHORIZATION COORDINATOR. Be the first to apply!
Related searches
- soccer coordinator Sacramento, CA
- building coordinator Sacramento, CA
- client relations coordinator Sacramento, CA
- candidate experience coordinator Sacramento, CA
- material coordinator Sacramento, CA
- case coordinator Sacramento, CA
- systems coordinator Sacramento, CA
- inspection coordinator Sacramento, CA
- learning coordinator Sacramento, CA
- contracts coordinator Sacramento, CA