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 coordinating authorization-related records, maintaining accurate case information, and communicating with members and providers to keep review activities moving efficiently. The role is ideal for someone who is comfortable handling high-volume administrative work, following compliance-driven procedures, and ensuring documentation is complete and properly organized. Responsibilities: • Enter, update, and maintain authorization information in designated systems with a high degree of accuracy. • Communicate by phone with providers and members to share status updates and obtain missing records needed for review. • Track open cases and follow established timelines to help meet required turnaround standards. • Upload, sort, and verify clinical and administrative documents so files remain complete and easy to access. • Assist with preparing and distributing approval and denial correspondence in accordance with departmental procedures. • Maintain daily logs, status reports, and other tracking tools that support utilization management activities. • Identify urgent, incomplete, or complex cases and refer them to nurses or medical leadership when appropriate. • Help organize materials for audits, compliance reviews, and regulatory reporting requirements. • Participate in team meetings, training sessions, and other department support activities as needed.

• Associate degree or equivalent practical experience required. • At least 2 years of experience in managed care, health plan operations, prior authorization, or healthcare administrative support. • Working knowledge of authorization processes and required turnaround expectations. • Strong data entry, numeric entry, typing, and general computer data entry skills. • Ability to manage a high volume of work while staying organized and meeting deadlines. • Proficiency with Microsoft Office and utilization management or similar healthcare systems. • Clear written and verbal communication skills, with the ability to request and document missing information accurately. • Bilingual skills in Cantonese, Mandarin, Spanish, Vietnamese, or Korean are 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 coordinating authorization-related records, maintaining accurate case information, and communicating with members and providers to keep review activities moving efficiently. The role is ideal for someone who is comfortable handling high-volume administrative work, following compliance-driven procedures, and ensuring documentation is complete and properly organized. Responsibilities: • Enter, update, and maintain authorization information in designated systems with a high degree of accuracy. • Communicate by phone with providers and members to share status updates and obtain missing records needed for review. • Track open cases and follow established timelines to help meet required turnaround standards. • Upload, sort, and verify clinical and administrative documents so files remain complete and easy to access. • Assist with preparing and distributing approval and denial correspondence in accordance with departmental procedures. • Maintain daily logs, status reports, and other tracking tools that support utilization management activities. • Identify urgent, incomplete, or complex cases and refer them to nurses or medical leadership when appropriate. • Help organize materials for audits, compliance reviews, and regulatory reporting requirements. • Participate in team meetings, training sessions, and other department support activities as needed.
2026-10-08T00:00:00Z