**Description** The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments. **Responsibilities** The UM Administration Coordinator 2 provides non-clinical support for the policies and procedures ensuring best and most appropriate treatment, care or services for members. Decisions are typically focus on interpretation of area/department policy and methods for completing assignments. Works within defined parameters to identify work expectations and quality standards, but has some latitude over prioritization/timing, and works under minimal direction. Follows standard policies/practices that allow for some opportunity for interpretation/deviation and/or independent discretion. **Key Responsibilities:** + Attaching faxes for chart reviews for the nursing team + Answering departmental phones as assigned + Make outbound calls to engage members and/or providers to verify clinical information/discharge date and admission status + Document calls and attach clinical information received + Request clinical information from providers/facilities + Create and send out written correspondence + Ability to multitask and prioritize + Collaborate with multiple roles/departments/providers/team members **Required Qualifications** + High School Diploma + 1 or more years administrative or technical support experience + Excellent verbal and written communication skills + Working knowledge of MS Office including Word, Excel, and Outlook in a Windows based environment and an ability to quickly learn new systems + Must have accessibility to high speed DSL or Cable modem for a home office (Satellite internet service is NOT allowed for this role); recommended speed is 10Mx1M + Must be passionate about contributing to an organization focused on continuously improving consumer experiences **Preferred Qualifications** + Proficient utilizing electronic medical record and documentation programs + Proficient and/or experience with medical terminology and/or ICD-10 codes + Bachelor's Degree in Business, Finance or a related field + Prior member service or customer service telephone experience desired + Experience with Utilization Review and/or Prior Authorization, preferably within a managed care organization **Additional Information** + **Hours for this role are:** Saturday-Sunday 8:30am-5pm EST **Scheduled Weekly Hours** 16 <>
Categories
• Financial Services