Prior Authorization Coordinator (Healthcare)

Exciting Opportunity in Montebello, CA!

If you have at least 1 year of current Utilization Management and Prior Authorization, Denials Letter processing, and DOFR usage experience, we want to hear from you!

Position Details

• Title: UM Coordinator
• Schedule: Monday – Friday, 8:30 AM – 5 PM
• Type: Temporary 3-2 month assignments (Possible Temp-To-Hire)
• Location: On-Site, Montebello, CA
• Compensation: $24/hr

What You’ll Do

In this role, you’ll play a key part in ensuring smooth care coordination for members. You’ll:

• Collect vital information during assessments and care planning
• Support interdisciplinary team meetings and transitions of care
• Troubleshoot and resolve complex issues independently
• Make a real difference in the healthcare journey of patients

What We’re Looking For

• High School Diploma or equivalent (required)
• 1+ years of current healthcare experience, including prior authorization, referral processing, and denial letter experience, is required
• DOFR usage is required
• Background in Medi-Cal, Medicare, CCS, or commercial programs (preferred)
• Experience in IPA, HMO, or health plan, managed care company is required
• Experience with a medical billing (IPA or HMO preferred) company is required
• Strong ability to work with diverse populations
• MA or Medical Billing Certification preferred

If you’re ready to take the next step in your healthcare career and join a team that values your expertise, apply today!

Job Types: Full-time, Temporary

Pay: $24.00 per hour

Benefits

• Dental insurance
• Health insurance
• Life insurance
• Retirement plan
• Vision insurance

Experience

• managed care company: 2 years (Required)
• processing referrals & authorizations: 2 years (Required)
• Healthcare call center/CSR: 1 year (Preferred)
• denial/appeals letter processing: 1 year (Required)
• DOFR Usage: 1 year (Required)

Work Location: In person