Job details
Job type full-time
Full job description
The um administration coordinator 2 contributes to administration of utilization managementThe um administration coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignmentsPerforms computationsTypically 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 membersDecisions are typically focus on interpretation of area/department policy and methods for completing assignmentsWorks within defined parameters to identify work expectations and quality standards, but has some latitude over prioritization/timing, and works under minimal directionFollows standard policies/practices that allow for some opportunity for interpretation/deviation and/or independent discretion.
Required qualifications
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
Scheduled weekly hours
40
