Utilization Management Administration Coordinator - Remote

Overview

The UM Administration Coordinator contributes to the administration of utilization management, providing non-clinical support for policies ensuring appropriate treatment and care for members.

In Short

• Contributes to utilization management administration.
• Performs complex administrative and operational support tasks.
• Manages authorizations and chart reviews.
• Handles inbound and outbound calls to verify clinical information.
• Documents calls and manages written correspondence.
• Collaborates with various departments and providers.
• Remote position with flexible working hours.
• Requires strong administrative and customer service skills.
• Benefits include medical, dental, and vision coverage.
• Pay range is between $40,000 and $52,300 per year.

Requirements

• 1+ years in an administrative support role.
• Experience with Microsoft Office Suite.
• Ability to learn new systems quickly.
• Preferred experience in Utilization Review or Prior Authorization.
• Proficient in medical terminology and ICD-10 codes.
• Customer service experience is desired.
• Experience with SNF and Home Health is a plus.
• Prior experience in a metric-driven environment.
• Experience in the healthcare industry is preferred.
• Strong communication skills are essential.

Benefits

• Medical, dental, and vision benefits.
• 401(k) retirement savings plan.
• Paid time off and holidays.
• Life insurance and disability benefits.
• Opportunities for personal wellness.
• Flexible working hours.
• Paid parental and caregiver leave.
• Support for volunteer time off.
• Industry-leading benefits starting on the first day of employment.
• Potential for overtime based on business needs.