UM Technician
NAMM North America Medical Management - San Diego, CA

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Assist in areas of authorization process such as triage, paper flow and research.

Responsibilities:
  • Verifies eligibility and benefits for each referral
  • Inputs all referrals into computer and generates hard copy
  • Provides referral and authorization to external providers
  • Communicates authorization status to patients
  • Organizes and maintains filing system of authorization/referral hard copies
  • Provides information required for denial letters to clerical staff for patients whose benefits do not cover requested services
  • Inputs ICD9 codes and CPT codes in computer for referral
  • Prepares assigned correspondence and reports and compiles statistical data as directed
  • Tracks all types of references on computer system on hard copy log and compiles statistics monthly
  • Maintains good attendance
  • Represents department / group and organization in a professional and positive manner
  • Supports and facilitates teamwork within the department / group and the organization
  • Participates in scheduled departmental / group meetings
  • Other duties as assigned

Qualifications:

High school graduate or G.E.D.

Medical Terminology Certificate

6 months experience in the medical field, either in a hospital, clinical or insurance setting that includes experience with computers

Demonstrates initiative

Demonstrates excellence and high quality in performing responsibilities

Ability to handle occasional pressure due to multiple calls or interruptions.

Other: Normal office environment. May be subject to temperature variations in the office.

Occasional early morning, evening or weekend work.

NAMM North America Medical Management - 7 months ago - save job - block