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California Medical Management AssistantVirtualVocations • Birmingham, Alabama, United States
California Medical Management Assistant

California Medical Management Assistant

VirtualVocations • Birmingham, Alabama, United States
2 days ago
Job type
  • Full-time
Job description
Supporting the Medical Management department, the full-time temporary California Medical Management Assistant will manage provider communications, enter data into the case management system, and assist clinical staff in authorizing services while working remotely for approximately 3-6 months. Key responsibilities Authorize and process claims for inpatient and outpatient services by entering data and triaging events according to departmental guidelines Verify member data and eligibility by researching participation in SCAN Care Management Programs and network provider status Maintain effective communication with internal and external customers, ensuring services align with benefit plans and fostering professional relationships with providers Required qualifications High School Diploma or equivalent required; Associate's Degree or equivalent experience preferred 3+ years of medical experience in a managed care environment preferred Proficiency with data entry and knowledge of medical terminology required Utilization Management experience is required Working knowledge of Medicare and Medi-Cal guidelines preferred
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California Medical Management Assistant • Birmingham, Alabama, United States

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