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Eligibility and Authorization Coordinator

Mid-Cal Labor Solutions

BAKERSFIELD, CA

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JOB DETAILS
SKILLS
Auto Insurance, Billing, Case Management, Diagnostic and Statistical Manual of Mental Disorders (DSM), Driver's License, HIPAA (Health Insurance Portability and Accountability Act), Healthcare, Healthcare Common Procedure Coding System (HCPCS), High School Diploma, ICD-10, ICD-9, Insurance, Medi-Cal, Medical Billing, Medical Terminology, Medicare, Organizational Skills, Psychology, Purchasing/Procurement
LOCATION
BAKERSFIELD, CA
POSTED
10 days ago

Busy, local healthcare company in Bakersfield is looking for an Eligibility and Authorization Coordinator! This Eligibility and Authorization Coordinator will:
  • Inquire on initial eligibility and and obtains authorization for services
  • Performs monthly eligibility for ongoing authorization for extended services
  • Enters authorizations and insurance billing data as required by Medicare, Medi-Cal and Insurance companies
  • Receives all calls and emails for authorization of services from field staff and case managers
  • Posts and verifies entry of all discipline visits and related charges
  • Communicates with the intake department and the staff for the authorization of services
  • Establishes and maintains relationships with patients, employees, payors and customers

This is a long-term, full-time, temp to hire position in Bakersfield, CA! The hours are 8:00 a.m. to 5:00 p.m., Monday through Friday. This company offers an excellent benefit package. 

Requirements:

Minimum 3 years experience in billing in the medical, psychological or human services field

Strong understanding and principles of Medicare, Medi-Cal, Insurance and private payer billing

Medical Terminology

Proficient data entry skills

Experience in HMO/PPO/Insurance authorization and eligibility procedures

ICD-9, ICD-10, DPT, and DSM-IV codes

Familiar with HCPCS codes

Ability to navigate insurance payor portals

Compliance issues as they relate to HIPAA

High school graduate

Valid California Driver’s License

Proof of valid automobile insurance









About the Company

M

Mid-Cal Labor Solutions

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