Job description

About us

PremierOne Plus MSO (POPMSO) is a management service organization serving the needs of providers in a managed care setting. PremierOne Plus MSO provides you with the resources and opportunity to build a rewarding career in an environment that support your success. PremierOne Plus MSO is seeking a full-time Utilization Management Office Assistant to ensure high quality and efficient day-to-day operations.

Duties and Responsibilities

• Perform data entry on physician referrals accurately
• Answer incoming calls from physicians, hospitals, and providers
• Follow up pending referrals to ensure that they are processed in a timely manner
• Call physician and provider offices to obtain relevant medical records and documentation
• Educate providers as needed with the referral and authorization process
• Verify member eligibility before processing authorizations
• Maintain confidentiality of protected health information
• Check, send, attach, and manage the Utilization Management department faxes
• Other duties as assigned

Qualifications and Skills

• Knowledge of Microsoft Office
• Excellent communication skills and writing skills (correct use of grammar and punctuation)
• Able to relay information accurately, concisely, and in a way that makes sense
• Fluent in English (reading and writing)
• Has common sense
• Able to follow instructions accurately
• Detail-oriented and able to recognize vital information
• Ability to consistently maintain quality and production expectations
• Knows how to use a computer, mouse, and keyboard
• Can type well on a keyboard with the correct hand positions and technique
• Able to use the internet to search for doctors, phone/fax numbers, address

Benefits

• Paid time off/Vacation days
• Paid sick days (3)
• Paid major holidays
• Medical, dental, and vision insurance

Schedule

• Monday to Friday (all days)
• 8:30 AM to 5:30 PM (whole duration, 1-hour lunch in between)

Salary

• Starting rate is negotiable depending on RELEVANT and EXACT experience

Job Type: Full-time

Pay: $18.00 per hour

Benefits:

• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Schedule:

• Monday to Friday
• No weekends

Ability to commute/relocate:

• Buena Park, CA 90620: Reliably commute or planning to relocate before starting work (Preferred)

Education:

• Associate (Preferred)

Experience:

• healthcare utilization management: 1 year (Preferred)

Language:

• Spanish (Preferred)
• Vietnamese (Preferred)

Work Location: In person

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