Utilization Management Coordinator

AltaMed Health Services

. Support the Senior Care Services/PACE department.

Posted 9/15/2026full-timeCommerce • California • United StatesJunior💰 $27 - $34 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in medical billing processes, including pre-authorizations and reimbursement regulations, while ensuring compliance with state and federal guidelines. Strong coordination and troubleshooting skills are essential for effective support in a healthcare environment.

Highest-signal resume keywords

Medical Billing ExperiencePre-AuthorizationsUtilization ManagementReferral ProcessingMedi-Cal Regulations

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Medical BillingAuthorization ProcessingReimbursement RegulationsTroubleshootingUtilization Management

Soft Skills

CoordinationProblem-Solving

Certifications & Qualifications

Medical Billing Certificate

Industry Keywords

Senior Care ServicesPACEIPAHMOCCSGovernment ProgramsHealth Care Specialty Call Center

About the role

Key responsibilities & impact

Support the Senior Care Services/PACE department.
Ensure the timeliness of outpatient or inpatient referral/authorization processing per state and federal guidelines.
Perform troubleshooting when problem situations arise.
Coordinate with leadership.

Requirements

What you’ll need

High School Diploma or equivalent required.
MA or Medical Billing Certificate preferred.
Minimum 1 year of experience working in a medical billing environment (IPA or HMO preferred), with pre-authorizations and reimbursement regulations with Medi-Cal, CCS, and other government programs required.
Prior experience working in a clinic/health care specialty call center.
Prefer experience in utilization management, processing authorization referrals.

Benefits

Comp & perks

Medical, Dental and Vision insurance
403(b) Retirement savings plans with employer matching contributions
Flexible Spending Accounts
Commuter Flexible Spending
Career Advancement & Development opportunities
Paid Time Off & Holidays
Paid CME Days
Malpractice insurance and tail coverage
Tuition Reimbursement Program
Corporate Employee Discounts
Employee Referral Bonus Program
Pet Care Insurance
May also qualify for discretionary bonuses or incentives