California Licensed Utilization Technician

Job Summary

A company is looking for a Utilization Management Technician.

Key Responsibilities

• Receive and process urgent, routine, pre-service, and retro authorization requests accurately and timely
• Utilize various business applications for analysis, information retrieval, and data entry for prior authorization
• Identify missing information and make processing determinations based on clinical protocols and guidelines

Required Qualifications

• Experience as a Coordinator
• Health Plan experience
• Experience with Electronic Medical Records (EMR)
• Familiarity with EPIC is preferred
• Proof of vaccination is required, with possible accommodations for disabilities or religious reasons