Authorization Technician Trainer

The primary role of the Authorization Technician Trainer will be to train and coach a team of Authorization Technicians. The trainer is responsible for communicating with team members, team managers, and other contacts necessary to meet the scheduled training needs. This may include recording a member’s personal details, checking their eligibility, obtaining any additional health insurance information the member can provide, gathering their medical histories, documenting the outcome and interactions of each inbound or outbound call within the medical management system. The trainer will also be responsible for printing and disbursing training materials in accordance with plan policies.

A successful Authorization Technician Trainer should be highly organized and detail-oriented with excellent interpersonal skills, with a strong aptitude for great customer service.

Job Duties

  • This position is responsible for preparing and providing training to ensure the Prior Authorization Technicians are prepared to complete the following listed functions and tasks:

    • Manage intake of provider requests for medical necessity determinations, through various modes of submission include but not limited to, secure fax, e-form or telephonic requests.

    • Create UM review requests in accordance with Customer’s UM policies and procedures and documentation guideline.

    • Provide current review status updates to requesting provider offices or receipt confirmations. 

    • Provide information regarding clinical information requirements, additional clinical information requests and education on Customer’s UM processes and requirements to providers.

    • Provide support to the UM nurses as needed to complete their clinical review requirements.

    • Perform other duties as assigned by the UM nurses.

  • Participate in department meetings, training and audit activities equal to Customer’s employees. 

Role/Education Requirements

  • Minimum of 2 years of recent health plan experience  

  • High level of expertise in UM services 

  • Experience with MediCal and LA County procedures and policies (preferred but not required)

  • Experience with MCG Criteria (preferred but not required)

Role Details

  • Job Type: Contract

  • Pacific business hours, Monday through Friday

  • Evenings, weekends or holiday coverage, as needed

  • Work Location: Remote