Utilization Management Coordinator

Altais

. Process all incoming authorizations received via Tapestry Link portal or OnBase .

Posted 10/20/2026full-timeRemote • California • United StatesJuniorMid-Level💰 $25 - $30 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in processing authorizations and verifying eligibility while adhering to HIPAA guidelines and maintaining confidentiality of health records. Proficient in medical terminology and coding, with strong communication skills for interacting with internal and external customers.

Highest-signal resume keywords

Authorization ProcessingMedical TerminologyCPT CodingICD CodingHIPAA Compliance

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Authorization ProcessingEligibility VerificationMedical TerminologyCPT CodingICD CodingHCPCS CodingData EntryMicrosoft OfficeClinical DocumentationTurn Around Times

Soft Skills

CommunicationCustomer ServiceConfidentialityCross-TrainingAttention to Detail

Tools & Technologies

Tapestry LinkOnBase

Certifications & Qualifications

Medical Terminology Certificate

Industry Keywords

UM ExperienceMedical RecordsMedical BillingHIPAA Guidelines

About the role

Key responsibilities & impact

Process all incoming authorizations received via Tapestry Link portal or OnBase
Verify eligibility or benefits and enter data into Tapestry before processing when required
Process authorizations within established Turn Around Times consistent with ICE regulations
Serve as the primary contact for internal and external customers requesting authorization information or assistance
Review authorization requests according to established review-level designations
Prepare denial letters under professional staff supervision
Provide accurate technical information to provider offices and internal customers
Contact provider offices by telephone for missing clinical documentation and document requested information in Tapestry
Cross-train with UM Coordinators to learn each process and ensure coverage
Protect the confidentiality of health records and member information

Requirements

What you’ll need

High school diploma
Two years previous UM experience, medical records, medical billing, or medical office experience
2-3 years Microsoft Office programs experience required
Certificate or equivalent experience in medical terminology, CPT, HCPCS, and ICD coding required
Must maintain strict confidentiality of health records and member information
Must meet HIPAA guidelines
External hires must pass a background check/drug screen

Benefits

Comp & perks

Excellent medical, vision, and dental coverage
401k savings plan with a company match
Flexible time off
9 Paid Holidays
Annual bonus program eligibility