UM Administration Coordinator 2

Profile

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. This role will focus on handling requests from the provider side (doctors, primary care physicians, specialists, etc.). 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.

Required Qualifications


High School Diploma
3 or more years of Customer Service experience specially in Healthcare or Medical field
Mandatory Saturday work schedule (8am - 5pm ET)
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
A dedicated home office space, with a locked door, lacking ongoing interruptions to protect member PHI / HIPAA information
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


Candidate is required to reside within the greater Miami-Dade / Broward county area in Florida. This is due to associates may be required to come into the office in case of power outages or internet connection issues.
Please note mandatory Saturday work schedule requirements above


Scheduled Weekly Hours

40

Company info

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