Utilization & Disease Management Administration Coordinator - Phone Intake - Remote

Overview

The UM Administration Coordinator - Phone Intake is responsible for providing non-clinical support for utilization management, managing incoming calls from providers and members, and ensuring best treatment practices.

In Short

• Remote position available in specific states
• Contributes to administration of utilization management
• Handles incoming calls from providers and members
• Processes referrals and prior authorizations
• Assists clinical staff with case triaging
• Requires healthcare administrative experience
• Excellent communication skills are essential
• Proficiency in MS Office is required
• Internet speed requirements for home office
• Competitive benefits offered

Requirements

• 1+ years of healthcare administrative experience
• Current or past HMO experience
• Excellent verbal and written communication skills
• Strong knowledge of MS Office applications
• Experience with medical terminology and ICD-10 codes preferred
• Bachelor's Degree in relevant field is a plus
• Prior customer service experience desired
• Experience with Utilization Review and Prior Authorization preferred
• Ability to work independently with minimal direction
• Must have a dedicated workspace for confidentiality

Benefits

• Medical, dental, and vision benefits
• 401(k) retirement savings plan
• Paid time off and holidays
• Short-term and long-term disability
• Life insurance and other opportunities
• Flexible scheduling options
• Career coaching and development programs
• Support for personal wellness
• Opportunities for professional growth
• Equal Opportunity Employer