Non-Clinical - Administrative - Authorization Rep @ Non-Clinical - Sansum Clinic
Sansum Clinic Pueblo Multi - Specialty Clinic, Santa Barbara, CA, United States
Details
Client Name
Sansum Clinic Foothill Medical & Surgical Center
Job Type
Travel
Offering
Non-Clinical
Profession
Non-Clinical
Specialty
Admin Assistant
Job ID
35444592
Job Title
Non-Clinical - Administrative - Authorization Rep @ Non-Clinical - Sansum Clinic 415 Patterson Ave
Weekly Pay
$1008.68
Shift Details
Shift
Day - 8x5 - 08AM
Scheduled Hours
40
Job Order Details
Start Date
05/11/2026
End Date
11/09/2026
Duration
26 Week(s)
Job Description
Job Title: Authorization Representative
Profession: Non-Clinical - Administrative
Specialty: Authorization Rep
Duration: 26 weeks
Shift: Day
Hours per Shift: 8 hours (09:00 - 17:00)
Experience: Minimum years of experience required
License: Not specified
Certifications: Not specified
Must-Have: HS Diploma or equivalent education/experience
Description:
Processes referral requests for patients to achieve timely and accurate determinations.
Works within the scope of practice to complete or forward requests as appropriate to managed care physicians and/or nurses as per the Utilization Management protocols.
Maintains required turnaround times for referral completion.
Assists providers and patients with referral status questions.
Participates in the development and implementation of improvements to the referral process and workflows.
Processes referrals per standard work and refers others to nurses and/or MDs as necessary.
Maintains accuracy with attention to detail in each referral.
Monitors daily pending referrals to ensure timeliness standards are met and customer service is maximized.
Reports anticipated problems to the Supervisor and/or other stakeholders.
Documents updated status in referrals per standard work.
Provides necessary medical information to obtain final determinations when required.
Documents determinations in referrals as per standard work.
Knowledge of medical terminology, Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), and International Classification of Diseases (ICD) coding is required.
Competency in using MS Office Excel and Word and other managed care programs is necessary.
Ability to identify, understand, and solve problems related to claims and referrals is critical.
Effective communication skills, including an understanding of medical concepts, the ability to organize thoughts, and communicate issues concisely and effectively are essential.
Proven ability to quickly adjust to changing projects and priorities and to multi-task is required.
Strong organizational skills are necessary.
7-Year work history verification is required for all candidates.
Candidates must provide accurate work history information going back 7 years from their start date and may be required to provide documentation or contacts for verification if needed.
Client Details
Address
4151 Foothill Rd
City
Santa Barbara
State
CA
Zip Code
93110
Job Board Disclaimer
By applying for jobs on this website, you consent to receive daily messages from CYNET about assignments that match your profile. Email or text HELP for more info, or STOP to unsubscribe.
Your mobile info will not be shared with third parties for marketing. Standard messaging and data rates may apply.
Client Name
Sansum Clinic Foothill Medical & Surgical Center
Job Type
Travel
Offering
Non-Clinical
Profession
Non-Clinical
Specialty
Admin Assistant
Job ID
35444592
Job Title
Non-Clinical - Administrative - Authorization Rep @ Non-Clinical - Sansum Clinic 415 Patterson Ave
Weekly Pay
$1008.68
Shift Details
Shift
Day - 8x5 - 08AM
Scheduled Hours
40
Job Order Details
Start Date
05/11/2026
End Date
11/09/2026
Duration
26 Week(s)
Job Description
Job Title: Authorization Representative
Profession: Non-Clinical - Administrative
Specialty: Authorization Rep
Duration: 26 weeks
Shift: Day
Hours per Shift: 8 hours (09:00 - 17:00)
Experience: Minimum years of experience required
License: Not specified
Certifications: Not specified
Must-Have: HS Diploma or equivalent education/experience
Description:
Processes referral requests for patients to achieve timely and accurate determinations.
Works within the scope of practice to complete or forward requests as appropriate to managed care physicians and/or nurses as per the Utilization Management protocols.
Maintains required turnaround times for referral completion.
Assists providers and patients with referral status questions.
Participates in the development and implementation of improvements to the referral process and workflows.
Processes referrals per standard work and refers others to nurses and/or MDs as necessary.
Maintains accuracy with attention to detail in each referral.
Monitors daily pending referrals to ensure timeliness standards are met and customer service is maximized.
Reports anticipated problems to the Supervisor and/or other stakeholders.
Documents updated status in referrals per standard work.
Provides necessary medical information to obtain final determinations when required.
Documents determinations in referrals as per standard work.
Knowledge of medical terminology, Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), and International Classification of Diseases (ICD) coding is required.
Competency in using MS Office Excel and Word and other managed care programs is necessary.
Ability to identify, understand, and solve problems related to claims and referrals is critical.
Effective communication skills, including an understanding of medical concepts, the ability to organize thoughts, and communicate issues concisely and effectively are essential.
Proven ability to quickly adjust to changing projects and priorities and to multi-task is required.
Strong organizational skills are necessary.
7-Year work history verification is required for all candidates.
Candidates must provide accurate work history information going back 7 years from their start date and may be required to provide documentation or contacts for verification if needed.
Client Details
Address
4151 Foothill Rd
City
Santa Barbara
State
CA
Zip Code
93110
Job Board Disclaimer
By applying for jobs on this website, you consent to receive daily messages from CYNET about assignments that match your profile. Email or text HELP for more info, or STOP to unsubscribe.
Your mobile info will not be shared with third parties for marketing. Standard messaging and data rates may apply.