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MSLA - Diagnostics Case Technician - Cypress, CA

UnitedHealth Group


Location:
Cypress, CA
Date:
09/05/2017
2017-09-052017-10-04
Job Code:
1768945
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Job Details


MSLA - Diagnostics Case Technician - Cypress, CA(Job Number:723601)
Description

MSLA is a Medical Corporation that provides comprehensive independent medical evaluations (IME) and other IME related services to the government and private industry. Our business philosophy incorporates both exceptional customer service and quality evaluations, both of which are the primary factors for our rapid growth since our inception in 1998. No industry is moving faster than health care. And no organization is better positioned to lead health care forward. We need attention to every detail with an eye for the points no one has considered. The rewards for performance are significant. You'll help improve the health of millions. And you'll do your life's best work.(sm)


Primary Responsibilities:

  • Manage administrative intake of members or the admission/discharge information post notification
  • Work with hospitals, clinics, facilities and the clinical team to manage request for services from members and/or providers
  • Manage the referrals process, processing incoming and outgoing referrals, and prior authorizations, including intake, notification and census roles
  • Receive care coordination notification cases for non-clinical assessment/intervention and provide appropriate triage
  • Review requests for adverse determination, approval notification and processing notification requirements
  • Assist the clinical staff with setting up documents/triage cases for Clinical Coverage Review
  • Handle resolution/inquiries from members and/or providers that may include:
    • Benefit and Eligibility information
    • Billing and Payment issues
    • Customer material requests
    • Physician assignments
    • Authorization for treatment
    • Explanation of Benefits (EOB)
    • Verifying appropriate ICD-9 and CPT coding usage

Job Clinical Admin & Processing
Primary Location US-CA-Cypress
Other Location 
Organization Logistics Health Inc
Schedule Full-time
Number of Openings 6
Apply on the Company Site

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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