Temporary Health Services Authorization Coordinator I

Job Description

Job DescriptionABOUT THIS TEMP POSITION

This is a temporary position and the length of assignment is estimated to go from July 2025 through December 31, 2025. The length of the assignment is always dependent on business need and dates may change. While the assignment would be at the Alliance, if selected, you would be an employee of a temporary employment agency that we would connect you with.

WHAT YOU'LL BE RESPONSIBLE FOR

Reporting to the Health Services Supervisor, this position:

• Processes basic incoming treatment and referral authorization requests and verifies member plan eligibility

• Performs basic research on member authorization requests

WHAT YOU'LL NEED TO BE SUCCESSFUL

To read the full position description, and list of requirements click here.

• Knowledge of:

• • Working knowledge of standard business office practices and equipment
  • Some knowledge of medical terminology or billing codes procedures
  • Some knowledge of the principles and practices of customer service

• Ability to:

• • Ability to verify eligibility information utilizing various organizational sources
  • Ability to interpret, explain, and apply processes, policies and procedures
  • Ability to quickly learn each line of business conducted by the health plan
  • Ability to quickly learn and skillfully navigate Alliance computer systems
  • Ability to identify, maintain, and protect Personal Health Information in accordance with the Health Insurance Portability and Accountability Act (HIPAA) and follow Alliance policies and procedures to ensure the security of such information

• Education and Experience:
  • High School diploma or equivalent and a minimum of two years of experience in the health care field.

• • An Associate's degree may substitute for one year of the required experience or an equivalent combination of education and experience may be qualifying.

OTHER INFORMATION

• We are in a hybrid work environment, and we anticipate that the interview process will take place remotely via Microsoft Teams.
• While some staff may work full telecommuting schedules, attendance at quarterly company-wide events or department meetings will be expected.
• In-office or in-community presence may be required for some positions and is dependent on business need. Details about this can be reviewed during the interview process.
• This is a temporary position and does not provide the benefits that are listed below (it is standard language from our regular job posts and cannot be altered or removed).

The full compensation range for this position is listed by location below.

The actual compensation for this role will be determined by our compensation philosophy, analysis of the selected candidate's qualifications (direct or transferrable experience related to the position, education or training), as well as other factors (internal equity, market factors, and geographic location).

Zone 1 (Monterey, San Benito and Santa Cruz)$19.79—$31.66 USDZone 2 (Mariposa and Merced)$18—$28.81 USDOUR BENEFITS

• Medical, Dental and Vision Plans
• Ample Paid Time Off
• 12 Paid Holidays per year
• 401(a) Retirement Plan
• 457 Deferred Compensation Plan
• Robust Health and Wellness Program
• Onsite EV Charging Stations
• And many more

ABOUT US

We are a group of over 500 dedicated employees, committed to our mission of providing accessible, quality health care that is guided by local innovation. We feel that our work is bigger than ourselves. We leave work each day knowing that we made a difference in the community around us.

The Alliance is an equal employment opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), sexual orientation, gender perception or identity, national origin, age, marital status, protected veteran status, or disability status. We are an E-Verify participating employer

Join us at Central California Alliance for Health (the Alliance) is an award-winning regional Medi-Cal managed care plan that provides health insurance for children, adults, seniors and people with disabilities in Mariposa, Merced, San Benito and Santa Cruz counties. We currently serve more than 418,000 members. To learn more about us, take a look at our Fact Sheet.

At this time the Alliance does not provide any type of sponsorship. Applicants must be currently authorized to work in the United States on a full-time, ongoing basis without current or future needs for any type of employer supported or provided sponsorship.