Coordinator II, Utilization Management

AltaMed Health Services

Coordinator II managing utilization for AltaMed's Medical Management department. Ensuring timely processing of outpatient and inpatient referrals while troubleshooting complex issues.

Posted 7/22/2026full-timeMontebello • California • 🇺🇸 United StatesJuniorMid-Level💰 $27 - $34 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in medical billing processes, including pre-authorizations and reimbursement regulations for government programs. Capable of independently resolving complex issues while ensuring compliance with state and federal guidelines.

Highest-signal resume keywords

Medical Billing ExperienceUtilization ManagementAuthorization ProcessingLead Position ExperienceMedi-Cal Regulations

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Medical BillingPre-AuthorizationsReimbursement RegulationsTroubleshootingComplex Issue Resolution

Certifications & Qualifications

Medical Assistant CertificateMedical Billing Certificate

Industry Keywords

IPAHMOMedi-CalCCSGovernment Programs

About the role

Key responsibilities & impact

Providing support to the Medical Management department to ensure the timeliness of outpatient or inpatient referral/authorization processing per state and federal guidelines
Performing troubleshooting when problem situations arise
Taking independent action to resolve complex issues.

Requirements

What you’ll need

High School Diploma or equivalent required
MA or Medical Billing Certificate preferred
Minimum 2 years of experience working in a medical billing environment (IPA or HMO preferred) with pre-authorizations and reimbursement regulations about Medi-Cal, CCS, and other government programs required
Prior experience in utilization management, processing authorization referrals is also required
Prefer prior Lead position experience.

Benefits

Comp & perks

Medical, Dental and Vision insurance
403(b) Retirement savings plans with employer matching contributions
Flexible Spending Accounts
Commuter Flexible Spending
Career Advancement & Development opportunities
Paid Time Off & Holidays
Paid CME Days
Malpractice insurance and tail coverage
Tuition Reimbursement Program
Corporate Employee Discounts
Employee Referral Bonus Program
Pet Care Insurance