UM Administration Coordinator

Job Description

REQUIREMENTS

• Administrative or technical support experience
• Excellent verbal and written communication skills
• Strong attention to detail
• Strong typing and computer navigation skills
• Ability to manage multiple or competing priorities, including use of multiple computer applications simultaneously
• Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Preferred

• Previous contact center or related customer service experience with telephone experience desired
• Healthcare experience
• High School diploma
• Proficient utilizing electronic medical record and documentation programs
• Proficient and/or experience with medical terminology and/or ICD-10 codes
• Experience with Utilization Review and/or Prior Authorization, preferably within a managed care organization
• Previous employment with work at home background

RESPONSIBILITES

• Support utilization management policies, procedures, and operations.
• Assist with activities that promote appropriate member care and services.
• Complete administrative tasks following established guidelines and procedures.
• Maintain accurate records and documentation.
• Meet quality, productivity, and timeliness expectations.
• Prioritize and complete assigned work within designated timeframes.
• Adhere to departmental policies, compliance requirements, and performance standards.
• Escalate issues that fall outside established guidelines.
• Collaborate with internal teams to support operational goals.
• Perform work under close supervision and within defined processes.

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