UM Care Coordinator
New
A
All Care To YouHealthcare administration
United States, Must be able to work 8 - 5 PM Pacific Standard Time.Full-TimeJunior
Salary18 - 26 USD per hour
Apply NowOpens the employer's application page
Job Details
- Experience
- 2 years healthcare administration experience; 3 years customer service experience
- Required Skills
- Microsoft ExcelMicrosoft OfficeCustomer service
Requirements
- Have 2 years of healthcare administration experience.
- Have 3 years of customer service experience.
- Be able to work 8 - 5 PM Pacific Standard Time.
- Demonstrate proficiency using Outlook, Microsoft Teams, Zoom, Microsoft Office, including Word and Excel, and Adobe.
- Bring strong multitasking ability and the ability to work in a fast-paced environment.
- Demonstrate problem-solving ability.
- Be able to work in an extremely confidential environment.
- Have strong written and verbal communication skills.
- Be technology savvy and highly organized.
- HMO/Medical Group experience is preferred.
- Bilingual proficiency is preferred.
Responsibilities
- Assist with and monitor the processing of authorization requests.
- Document, update, and finalize referrals daily, verifying providers, member eligibility and benefits, CPT/ICD-10 codes, dates, required fields, and supporting clinical data.
- Process referrals within designated timeframes and follow Coordinator guidelines for authorization requests.
- Coordinate, identify, and route referrals requiring review to Utilization Management Nurses.
- Provide data entry, updates, and corrections within requested timeframes.
- Interact with UM nurses, assist with requests, and provide timely follow-through.
- Take incoming departmental calls and call providers, members, and health plans.
- Maintain PHI and comply with HIPAA requirements.
View Full Description & ApplyYou'll be redirected to the employer's site
