Utilization Management Administration Coordinator - Phone Intake - Remote

Overview

The Utilization Management (UM) Administrative Coordinator 2 is responsible for providing high-quality support to healthcare providers contacting the call center to initiate referral authorizations or check the status of existing requests.

In Short

• Provide support to healthcare providers for referral authorizations.
• Strong communication skills required.
• Work in a fast-paced, high-volume environment.
• Gather and verify provider and member information.
• Process referral authorization requests according to UM protocols.
• Collaborate with clinical and administrative staff.
• Monitor call queues and manage multiple tasks.
• Maintain thorough documentation of interactions.
• Participate in ongoing training and quality assurance activities.
• Adhere to privacy and compliance regulations.

Requirements

• 1 or more years of administrative or technical support experience.
• Excellent verbal and written communication skills.
• Working knowledge of MS Office.
• Accessibility to high-speed internet for home office.
• Experience with medical terminology and ICD-10 codes preferred.
• Bachelor's Degree in Business, Finance, or related field preferred.
• Prior member service or customer service telephone experience desired.
• Experience with Utilization Review and/or Prior Authorization is a plus.

Benefits

• Medical, dental, and vision benefits.
• 401(k) retirement savings plan.
• Paid time off and holidays.
• Short-term and long-term disability insurance.
• Life insurance.
• Opportunities for personal and professional growth.
• Flexible scheduling options.
• Leadership development programs.