Altais includes a network of physician-led organizations across California, including Brown & Toland Physicians, Altais Medical Group Riverside, and Family Care Specialists. Together, we’re building a stronger, more connected healthcare system. 

• Responsible for all incoming authorizations, whether received via Tapestry Link portal or OnBase. Authorizations may require eligibility or benefit verification and data entry into Tapestry before processing and are governed by established Turn Around Times (TAT) consistent with the Industry Collaboration Effort (ICE) regulations.  

• Function as the primary contact for internal and external customers requesting information or assistance related to authorizations.  

• Review authorization requests per established level of review designation. 

• Prepare the denial letters under the supervision of the professional staff. Works closely with professional staff and customer service to provide accurate technical information to provider offices and internal customers in a professional manner. 

• Contact provider offices by telephone for missing clinical documentation necessary for medical review and document information requested in Tapestry. 

• Cross train with all UM Coordinators to learn each process completely to ensure coverage is available. 

• Ensure strict confidentiality of all health records, member information and meet HIPAA guidelines. 

The Skills, Experience & Education You Bring

The Base Salary for this position is $25.00 - $30.00/hr

In addition, we provide a competitive compensation package that recognizes your experience, credentials, and education alongside a robust benefits program to meet your needs.

• Excellent medical, vision, and dental coverage

• 401k savings plan with a company match

• Flexible time off and 9 Paid Holidays

Altais values the contribution each Team Member brings to our organization. Final determination of a successful candidate’s starting pay will vary based on several factors, including, but not limited to education and experience within the job or the industry. The pay scale listed for this position is generally for candidates that meet the specified qualifications and requirements listed on this job description. Additional pay may be determined for those candidates that exceed these specified qualifications and requirements. We provide a competitive compensation package that recognizes your experience, credentials, and education alongside a robust benefits program to meet your needs.

The anticipated pay range for this role is listed in our salary posting for transparency but may vary based on factors including the candidate’s qualifications, skills, and experience. This position will also be eligible to participate in our annual bonus program.

Altais and its subsidiaries and affiliates are committed to protecting the privacy and security of the personal information you provide to us. Please refer to our ‘CPRA Privacy Notice for California Employees and Applicants’ to learn how we collect and process your personal information when you apply for a role with us.

External hires must pass a background check/drug screen. Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with Federal, State and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws.