Akido Labs · 10 hours ago
Utilization Management & Claims Coordinator
Chino, California
Full-time
Onsite
Mid Level
$25/hr - $31/hr
3+ years expAkido Labs is an AI-native care provider focused on addressing America’s physician shortage. The UM Coordinator will support the Utilization Management function, monitoring service utilization and managing referral requests to ensure timely processing and compliance.
Health CareInformation Technology
Responsibilities
Manage referral requests received from various systems
Conduct initial review of authorization requests to verify correct data entry, provider contract status, and completeness
Process and approve a proportion of authorization requests according to pre-defined criteria, including citing of sources
Conduct quality reviews for medical necessity and services provided
Review and escalate appropriate referrals to the Medical Director or an RN for review
Monitor workflow queues to ensure timely processing of all referrals
Keep key templates up to date according to changing health plan requirements
Provide ongoing support and training for staff on documentation or charting requirements, continued stay criteria and medical necessity updates
Qualification
Required
Minimum 3 years of experience in a clinical setting, preferably in the Utilization Management
Required Education: High school diploma or equivalent
Excellent analytical, organizational, and time-management skills
Strong communication and collaboration skills across clinical and administrative teams
Comfortability with learning new technology
Ability to oversee multiple departments simultaneously while ensuring compliance and accuracy
Preferred
Preferred Education: Associate's, Bachelor's, or Master's degree in Social Work, Behavioral or Mental Health, Nursing, or a related health field
Benefits
Medical, Dental and Vision Coverage
Supplemental benefits including Life Insurance and Short-Term Disability
401 (K) Savings Plan
401 (K) Company Match
PTO hours per year
Sick leave hours per year
Paid holidays per year
Company
Akido Labs
Akido is a care delivery platform based in Los Angeles with the mission to ensure our most vulnerable communities thrive.
501-1000 employees
Funding
Current Stage
Late StageTotal Funding
$81.62MKey Investors
Oak HC/FT
2025-05-15Series B· $60M
2020-12-16Series A· $11.2M
2020-12-16Corporate Round· $6.2M
Leadership Team
Prashant Samant
CEO & Co-Founder
A
Andrew Poksay
Head of Special Projects
Recent News
Soma Capital
2026-01-08
MIT Technology Review
2025-09-22
Company data provided by crunchbase