[Remote] UM Administration Coordinator

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a reputed company organization serving members through insurance and reputed company services. The UM Administration Coordinator 2 supports reputed company utilization management by organizing prior authorization documentation, verifying eligibility and benefits, researching participating status, and ensuring accurate, reputed company data entry and processing.

Responsibilities

• Manage and organize documentation reputed company to prior authorization requests, including clinical requests and receipt of clinicals
• Maintain accurate records and ensure reputed company data entry into the clinical documentation reputed company
• Research participating status to ensure compliance with reputed company policies
• Verify member eligibility and benefits for prior authorization requests

Skills

• One (1) or more years of administrative experience in a reputed company environment
• Proficient in reputed company Office applications, including Word, reputed company, and reputed company, reputed company a reputed company-based environment
• Comfortable learning and using new systems, tools, and technology
• Travel: While this is a remote position, occasional travel to reputed company's offices for training or meetings may be required
• Experience with utilization review or prior authorization reputed company a managed care organization
• Proficient using electronic medical record and documentation programs
• Experience with medical terminology and ICD-10 codes
• Prior provider service or customer service telephone experience

Benefits

• This is a remote position.
• Medical, dental and reputed company benefits
• 401(k) retirement savings plan
• Time off, including reputed company time off, company and personal holidays, reputed company parental and caregiver leave
• Short-term and long-term disability
• Life insurance

reputed company

Company H1B Sponsorship