UM Administration Coordinator
J
JobgetherHealthcare utilization management
Remote nationwide in the United StatesFull-Time
Salary39,000 - 49,400 USD per year
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Job Details
- Required Skills
- Customer service
Requirements
- Have previous administrative, technical support, or comparable operational experience.
- Demonstrate strong verbal and written communication skills and excellent attention to detail.
- Have strong typing, computer navigation, and digital literacy skills.
- Be able to manage multiple priorities while working across several computer applications.
- Have a reliable home working environment with a dedicated workspace.
- Have internet service providing at least 25 Mbps download and 10 Mbps upload speeds; alternative connection types may require approval.
- Customer service or contact center experience, particularly telephone-based support, is preferred.
- Healthcare experience and familiarity with electronic medical records and documentation systems are preferred.
- A high school diploma is preferred.
- Knowledge of medical terminology and/or ICD-10 codes is a plus.
- Experience with utilization review or prior authorization, particularly in a managed care environment, is preferred.
- Previous remote or work-from-home experience is beneficial.
Responsibilities
- Support utilization management policies, procedures, and day-to-day operational activities.
- Provide non-clinical administrative support to help facilitate appropriate member care and services.
- Complete administrative, clerical, operational, and customer-support tasks accurately and according to established guidelines.
- Maintain accurate records, documentation, and information across relevant systems.
- Manage assigned workloads and prioritize competing tasks to meet productivity, quality, and timeliness expectations.
- Collaborate with internal teams to support departmental and operational objectives.
- Identify and escalate issues that fall outside established processes or guidelines.
- Follow departmental policies, compliance requirements, quality standards, and performance expectations.
- Work effectively within defined processes and under appropriate supervision.
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