Utilization Management Coordinator – Casual

Altais

Utilization Management Coordinator supporting efficient authorization processes for Altais healthcare. Collaborating with various teams to navigate insurance requirements and advocate for patient care.

Posted 7/24/2026contractRemote • California • 🇺🇸 United StatesJuniorMid-Level💰 $25 - $30 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in managing authorizations and medical records while ensuring compliance with HIPAA guidelines. Proficient in medical terminology and coding, with strong communication skills to liaise with internal and external stakeholders.

Highest-signal resume keywords

Authorization ManagementMedical TerminologyCPT CodingICD CodingMicrosoft Office Proficiency

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Authorization ReviewMedical BillingMedical Records ManagementClinical DocumentationHIPAA Compliance

Soft Skills

Customer ServiceCommunicationCollaboration

Certifications & Qualifications

Medical Terminology Certificate

Industry Keywords

UM ExperienceCPTHCPCSHealth RecordsConfidentiality

About the role

Key responsibilities & impact

Responsible for all incoming authorizations
Function as the primary contact for internal and external customers requesting information or assistance related to authorizations
Review authorization requests per established level of review designation
Prepare the denial letters under the supervision of the professional staff
Works closely with professional staff and customer service to provide accurate technical information to provider offices and internal customers
Contact provider offices by telephone for missing clinical documentation necessary for medical review
Cross train with all UM Coordinators to learn each process completely to ensure coverage is available
Ensure strict confidentiality of all health records and member information and meet HIPAA guidelines

Requirements

What you’ll need

High school diploma
Two years previous UM experience, medical records, medical billing, or medical office experience
2-3 years Microsoft Office programs experience required
Certificate or equivalent experience in medical terminology, CPT, HCPCS, and ICD coding required

Benefits

Comp & perks

Excellent medical, vision, and dental coverage
401k savings plan with a company match
Flexible time off
9 Paid Holidays