CBAS Coordinator

DESCRIPTION/DUTIES:

- The CBAS Coordinator supports the UM Specialist by handling all administrative and technical functions of the authorization process including intake, logging, tracking and status follow-up.
- The CBAS Coordinator collects information required by clinical staff to render decisions, assists the Manager and Director of the Utilization Management department in meeting regulatory timelines by maintaining an accurate database inventory of referral authorizations, retrospective reviews, concurrent reviews and grievance/appeal requests, and prepares UM Activity and Weekly Compliance Reports.
- In addition, the position performs data entry and processing of referrals/authorizations in the system, authorizes request consistent with auto auth criteria, maintains confidentiality when communicating member information, and assists with the communications of determinations by preparing template letters for members/providers, with other duties assigned.

SKILLS:

REQUIRED SKILLS/QUALIFICATIONS:

- High School Diploma or Associate Degree.
- At least one year of experience in Medi-Cal managed care authorization processes and/or as a Medical Assistant.
- Knowledge of medical terminology and codes.
- Strong verbal and written communication skills.
- Proficiency with Microsoft Word, Excel, and Access.
- Excellent organizational, interpersonal and time management skills.
- Must be detail oriented and an enthusiastic team player.

PREFERRED SKILLS/QUALIFICATIONS:

- Knowledge of MHC computer system.
- Associate or Bachelor's degree.