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Authorizations Specialist

Rancho Cordova, CA 95670

Position: Customer Service Branch: Rancho Cordova

Authorizations Specialist

Serves as initial point of contact for providers and members in the medical management process by telephone or correspondence. Assists in ensuring members are effectively and efficiently managed through the medical/disease management process as needs require. Within extension of authority, assigns length of stay on acute inpatient admissions, as well as approves specific home health, DME. Process authorization requests and facilitates referrals. Assists with system letters, requests for information and data entry. Provides administrative/clerical support to medical and disease management.

Responsibilities:

  • Resource/educator for all HCS team
  • Handle customer/provider problematic calls
  • Special projects
  • Precept new hires
  • Lead day to day unit activities.
  • Assists with process related issues/workflows
  • Intervenes when precepting becomes problematic for senior reps
  • Internal/external liaison
  • Back up to phones when needed

Nora Kawaguchi
Recruiter

As a South Carolina native, Nora always allows her southern hospitality to shine through all of her encounters. She brings a passion for building meaningful relationships and an enthusiastic personality to the Wollborg Michelson Recruiting team! Nora has a unique background in the performing arts, administrative/ HR support and teaching English in a foreign country. She could be described as adventurous, motivated and a great listener. Nora believes that a smile and positivity go a long way and making a difference in the lives of others is where she truly thrives! 

In her “off” time, Nora is the Sacramento region youth dance coordinator for an international organization that promotes world peace. When she’s not teaching, she is dancing on a semi-pro Latin dance team. Let’s just say that Nora really LOVES to dance! 

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