Authorization Technician II — UM Support & Compliance

L.A. Care Health Plan; Lancaster (CA); On-site; USD 48,000 - 68,000; Full time

Benefits offered by this job

Paid Time Off (PTO)

Tuition Reimbursement

Retirement Plans

Medical, Dental and Vision

Wellness Program

Job summary

L.A. Care Health Plan in Los Angeles, CA is seeking an Authorization Technician II to support the Utilization Management team.

You will handle intake, logging, tracking and status follow-up of authorizations, ensuring timely documentation and confidentiality of member information. Responsibilities include data entry, preparing template letters for determinations, and assisting with retrospective reviews and appeals.

Qualifications

• At least 6 months of health care experience.
• Experience in a cross functional work environment.
• Experience in Medi-Cal managed care is preferred.
• 1 year of experience in UM/Prior Authorization is preferred.

Responsibilities

• Process time-sensitive authorization and pre-certification requests to meet timeframes.
• Enter referrals/authorizations and maintain complete files within defined timelines.
• Prepare template letters for authorization determinations.
• Assist retrospective review process for authorizations and appeals, including data entry and communications.
• Support UM Committee and Audit activity with performance reporting.
• Perform other duties as assigned.

Skills

Medical Terminology

Verbal & Written Communication

Detail-oriented

Organizational Skills

Team Player

Time Management

Interpersonal Skills

Tools

Microsoft Office

Adobe PDF

QNXT

EMR Systems

Job description

L.A. Care Health Plan in Los Angeles, CA is seeking an Authorization Technician II to support the Utilization Management team.

You will handle intake, logging, tracking and status follow-up of authorizations, ensuring timely documentation and confidentiality of member information. Responsibilities include data entry, preparing template letters for determinations, and assisting with retrospective reviews and appeals.