UM Coordinator - Denials

Astrana Health Inc

  • Monterey Park, CA
  • 30+ days ago

    Highlights

    The UM Coordinator - Denials will review, monitor, and process prior authorization denials requests while maintaining strict adherence to regulatory and health plan guidelines. Astrana Health is seeking a dedicated Utilization Management (UM) Coordinator - Denials to join our Denial Department.

    Numbers & Facts

    LocationMonterey Park, CA

    Description

    Astrana Health is seeking a dedicated Utilization Management (UM) Coordinator - Denials to join our Denial Department. This role ensures timely and accurate processing of all deferrals and denials in compliance with Astrana Health policies, NCQA standards, health plan requirements, and federal and state regulations. The UM Coordinator - Denials will review, monitor, and process prior authorization denials requests while maintaining strict adherence to regulatory and health plan guidelines.

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