Medical Authorization Assistant at Judge Group

Judge Healthcare is seeking a Medical Authorization Assistant in Orange, CA!

Contract: 6 months 

Hours: Business hours, Mon-Fri

Position Responsibilities:

• The Medical Authorization Assistant will provide office and case management support services by serving as a contact between members, physicians, nursing home facilities, community-based organizations, providers and Health staff.

• The incumbent will complete initial intake of information, assist with authorization functions and gather information.

• The incumbent will perform under the direction of the licensed Medical Case Managers, Social Workers, Program Mangers and department managers.

• The incumbent will perform medical administrative and/or routine tasks specific to the assigned program and may also perform office support functions.

• The incumbent will provide effective and efficient communication with the utmost courtesy in every interaction with our Health members, employees and other customers. 

• Receives cases via mail, fax, phone or electronically and enters data for new case information into the medical management systems.

• Conducts individual interviews with Health members and/or providers to obtain intake information and gather data.

• Works with the Medical Case Manager to authorize requested services according to department guidelines and verifies eligibility through the state systems.

• Contacts the health networks and/or Health’s Customer Service department regarding health network enrollments, changes in address and primary care provider.

• Assists in gathering medical records, obtaining appropriate coding for diagnosis and procedures and follows up on phone calls.

Minimum Qualifications:

• High School diploma or equivalent.
• 2 years of experience in a healthcare or managed care setting.
• An equivalent combination of education and experience sufficient to perform the essential duties of the position.

Preferred Qualifications:

• Experience in medical billing and coding.
• Certified Medical Assistant (CMA) certification.
• Experience in utilization management.
• Bilingual in English and one of the following languages (Arabic, Farsi, Chinese, Korean, Spanish, Vietnamese).