TMP Non-Clinical Intake Coordinator III (Certified)

Non-Clinical Intake Coordinator III will support the Clinical Intake staff in the processing of Health Plan referrals for medical services, durable medical equipment, & specialty care. Duties include: Providing UM Department with administrative support in implementation of authorization process to ensure accuracy of service determinations, limitations of Health Plan coverage, & timeliness in communication & decision-making process; Obtaining referral information from providers & members to implement & facilitate authorization process; Reviewing specified referral types using established criteria for purposes of pre-authorization of payment, when indicated routes requests to Clinical Intake Coordinators for approval or auto-authorizations. Required qualifications: High school diploma from accredited school or equivalent; Medical Assistant Associate’s degree/diploma or Medical Assistant Certificate or Certified Nurse Assistant (CNA); Min. 2 yrs exp. in managed care setting. 1st shift. Wage: $26.00 hr. (#6.0108.409 – Bakersfield)