California Licensed Utilization Management MA

A company is looking for a Utilization Management Medical Assistant. Key Responsibilities Review consult summaries and imaging results to determine follow-up service needs Enter orders based on provider direction and manage clinical inboxes for document handling Collaborate with clinical staff to resolve authorization and order discrepancies Required Qualifications Current MA Certificate; experience in a home health/clinical setting preferred 2-year degree in Medical Assistance from an accredited program Certification by a Medical Assistant Certifying Organization preferred Minimum one year of chart auditing or UM review experience Knowledge of Medicare and Medicaid UM regulations

May 6, 2025 - 20:29
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California Licensed Utilization Management MA
A company is looking for a Utilization Management Medical Assistant. Key Responsibilities Review consult summaries and imaging results to determine follow-up service needs Enter orders based on provider direction and manage clinical inboxes for document handling Collaborate with clinical staff to resolve authorization and order discrepancies Required Qualifications Current MA Certificate; experience in a home health/clinical setting preferred 2-year degree in Medical Assistance from an accredited program Certification by a Medical Assistant Certifying Organization preferred Minimum one year of chart auditing or UM review experience Knowledge of Medicare and Medicaid UM regulations