UM Administration Coordinator
Remote US
The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments.
The UM Administration Coordinator 2 provides non-clinical support for the policies and procedures ensuring best and most appropriate treatment, care or services for members. Decisions are typically focus on interpretation of area/department policy and methods for completing assignments. Works within defined parameters to identify work expectations and quality standards, but has some latitude over prioritization/timing, and works under minimal direction. Follows standard policies/practices that allow for some opportunity for interpretation/deviation and/or independent discretion.
Key Responsibilities
Attaching faxes for chart reviews for the nursing team
Make inbound/outbound calls daily to providers to verify clinical information/discharge date and admission status
Document calls and attach clinical information received
Manage queues and assign cases
Request clinical information from providers/facilities
Create and send out written correspondence
Ability to multitask and prioritize in a high production environment
Collaborate with multiple roles/departments/providers/team members
Use your skills to make an impact
Required Qualifications
1+ years of healthcare experience (working for a health plan, organization or provider)
1+ years of administrative, telephonic customer service and/or healthcare experience
Must be able to work a shift, Monday -Friday 8:00 a.m. - 5:00 p.m. EST or CST
Excellent verbal and written communication skills
Comprehensive knowledge of Microsoft Word, Outlook, and Excel with the ability to type and enter data accurately, as well as the ability to quickly learn new systems
Preferred Qualifications
Associate’s degree
1+ years of experience with Utilization Review and/or Prior Authorization, preferably with a managed care organization
Proficient utilizing electronic medical record and documentation programs
Proficient and/or have experience with medical terminology and/or ICD-10 codes
Additional Information
Hours for this role are Monday-Friday (8:00 a.m. - 5:00 p.m. EST/CST)
Interviewing Technology:
As part of our hiring process for this opportunity, we will be using an interviewing technology called Modern Hire to enhance our hiring and decision-making ability. Modern Hire allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.
Work At Home / Internet Information:
To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees …
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California Dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information Illinois Montana Remote US South Dakota Work from a dedicated space Work from a dedicated space lacking ongoing interruptions Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information Work from Home in the state of California, Illinois, Montana, or South Dakota
Benefits/Perks401k Retirement Savings Caring community Competitive benefits Dental Disability Holidays Internet expense reimbursement Life Life Insurance Medical Paid parental and caregiver leave Paid Time Off Parental and Caregiver Leave Personal holidays Support whole-person well-being Telephone equipment provided Time off Vision Vision Benefits Volunteer time Volunteer time off Work From Home
Tasks- Administrative support
- Collaborate with teams
- Communication
- Customer support
- Documentation
- Document calls
- Interpretation
- Training
- Utilization Management
Administrative Administrative Support BI Business Clinical Clinical support Communication Compensation Customer service Customer Support Data Documentation Electronic Medical Records Excel Healthcare Healthcare experience HIPAA ICD ICD-10 codes Insurance Leadership Managed Care Management Medicaid Medical terminology Medicare Microsoft Excel Microsoft Outlook Microsoft Word Nursing Organization Outlook Prior authorization Prioritization Recruitment Security Technology Training Utilization management Utilization Review Verbal and written communication Wellness Word Written communication
Experience1 years
EducationAssociate Associate's Degree Business Communication Education Healthcare Higher Management Nursing
TimezonesAmerica/Anchorage America/Chicago America/Denver America/Los_Angeles America/New_York Pacific/Honolulu UTC-10 UTC-5 UTC-6 UTC-7 UTC-8 UTC-9