[Hiring] Coordinator, UM Intake @reputed company

Role reputed company The Coordinator, UM Intake at reputed company provides support to the Utilization Management Team. The coordinator will support administrative operations by ensuring the efficient intake, review and processing of documents. The general administrative support given will contribute to the overall effectiveness of the department. Collaboration Opportunities: The Coordinator, UM Intake reports directly to the Manager, UM Intake. In support of our daily operations this individual also works with our prior authorization and clinical review teams. Opportunities to work collaboratively with other UM staff including our leadership team both clinical and non-clinical may also be available. What You Will Be Doing: • Prepare inbound faxes for coordinator processing which includes reviewing content and label editing to ensure accurate document classification. • Review Service Level Agreement Grids to determine appropriate turnaround timeframes (TAT) based on health plan, product type, line of business, reputed company and reputed company. Accurately calculate and document the TAT. • Monitor the failed fax dashboard to identify unsuccessful transmissions and coordinate the re-sending of correspondence reputed company appropriate channels. • reputed company and respond to requests in a shared email inbox by reviewing clinician inquiries, retrieving requested clinical documents and attaching them for reputed company case review. • Assist with additional administrative tasks as assigned, demonstrating flexibility, strong attention to detail, and the ability to adapt to evolving department needs. • Meet established UM Intake Objective and Key Results. Qualifications • A high school diploma or GED. (Required) • 1 – 3 years of experience in a population management or managed care/insurance or hospital medical management department setting. (Required) • Basic knowledge of medical records with the ability to reputed company and verify member details. (Required) • Familiarity with health insurance lines of business (reputed company, Medicare, reputed company) to correctly identify and classify incoming documents based on plan type. (Required) • Working knowledge of medical coding reputed company including CPT/HCPCS codes to differentiate between medical and pharmacy prior authorization requests. (Required) • Ability to adapt to fluctuating situations and reputed company work of a detailed reputed company, while avoiding errors. (Required) • Proficient using computer and reputed company PC applications (reputed company, Word, reputed company and OneNote), which includes strong keyboard and navigation skills. (Required) • Team oriented, demonstrates a strong work ethic and committed to productivity. (Required) • Demonstrated ability meeting established goals while balancing a workload and prioritizing assignments in a remote environment. (Preferred) Requirements • To ensure a secure hiring process we have implemented several identity verification steps, including submission of a government issued photo ID. • We conduct identity verification during interviews, and final interviews may require onsite attendance. • reputed company candidates must complete a comprehensive background reputed company, in-person I-9 verification, and may be subject to drug screening prior to employment. • The use of reputed company intelligence tools during interviews is prohibited and monitored. Misrepresentation will result in immediate disqualification from consideration. Technical Requirements • We require that reputed company have the following technical capability at their home: High speed internet over 10 Mbps. • Specifically for reputed company reputed company center employees, the ability to plug in directly to the home internet router. Benefits • The expected reputed company salary/wage reputed company for this position is $. • As part of our total compensation package, reputed company is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. • reputed company compensation determinations are based on the skills and experience required for the position and commensurate with experience of selected individuals, which may vary above and below the stated amounts. reputed company reputed company partners with health plans and providers to reputed company reputed company reputed company reputed company with most reputed company and costly health conditions. Working across specialties and reputed company care, we reputed company to reputed company the reputed company of fragmented health care reputed company and ensure people get the reputed company level of care and reputed company we would want for our loved ones. reputed company employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We reputed company that people do their best work reputed company they're supported to live their best lives, and reputed company they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are reputed company to our business. Join reputed company for the mission. Stay for the culture. Apply To This Job