We are looking for a detail-oriented Data Entry Clerk to support utilization management operations for a healthcare organization in Westminster, California. This Long-term Contract position focuses on maintaining accurate records, coordinating authorization-related information, and helping ensure requests move through review within required timelines. The ideal candidate is organized, comfortable handling high-volume administrative work, and confident communicating with providers and members to obtain and verify needed information. Responsibilities: • Enter, update, and maintain authorization information in internal tracking systems with a high degree of accuracy. • Communicate by phone with healthcare providers and members to share status updates and obtain missing documentation needed for review. • Track request due dates and follow established procedures to help meet turnaround time and compliance expectations. • Upload, sort, and verify clinical and administrative records so files remain complete and easy to access. • Assist in preparing and processing approval and denial correspondence tied to utilization review activities. • Maintain daily logs, status reports, and other administrative records that support departmental workflow visibility. • Route urgent, sensitive, or clinically complex matters to licensed utilization management staff for further review. • Help organize records and supporting materials for audits, reporting needs, and regulatory submissions. • Participate in team meetings, training sessions, and other assigned administrative support activities.

• Associate degree or equivalent practical experience in an administrative or healthcare support setting. • At least 2 years of experience in managed care, health plan operations, prior authorization, or healthcare administration. • Working knowledge of authorization processes and the importance of meeting required turnaround deadlines. • Strong data entry, numeric entry, typing, and general computer skills with solid accuracy and speed. • Proficiency with Microsoft Office and the ability to learn utilization management or case tracking systems. • Clear written and verbal communication skills for interacting professionally with providers, members, and internal teams. • Strong attention to detail with the ability to recognize incomplete submissions and request missing information appropriately. • Bilingual ability in Cantonese, Mandarin, Spanish, Vietnamese, or Korean is preferred.

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Westminster, CA
onsite
Temporary / Contract
23.75 - 27.5 USD / Hourly
We are looking for a detail-oriented Data Entry Clerk to support utilization management operations for a healthcare organization in Westminster, California. This Long-term Contract position focuses on maintaining accurate records, coordinating authorization-related information, and helping ensure requests move through review within required timelines. The ideal candidate is organized, comfortable handling high-volume administrative work, and confident communicating with providers and members to obtain and verify needed information. Responsibilities: • Enter, update, and maintain authorization information in internal tracking systems with a high degree of accuracy. • Communicate by phone with healthcare providers and members to share status updates and obtain missing documentation needed for review. • Track request due dates and follow established procedures to help meet turnaround time and compliance expectations. • Upload, sort, and verify clinical and administrative records so files remain complete and easy to access. • Assist in preparing and processing approval and denial correspondence tied to utilization review activities. • Maintain daily logs, status reports, and other administrative records that support departmental workflow visibility. • Route urgent, sensitive, or clinically complex matters to licensed utilization management staff for further review. • Help organize records and supporting materials for audits, reporting needs, and regulatory submissions. • Participate in team meetings, training sessions, and other assigned administrative support activities.
2026-10-08T00:00:00Z