UM Administration Coordinator 2

We are seeking a full-time, remote UM Administration Coordinator 2 to support the administration of utilization management. The successful candidate will perform moderately complex administrative, operational, and customer service tasks, including significant telephonic interaction with providers, members, and other stakeholders.

Responsibilities include:

• Receiving inbound calls and providing customer service
• Supporting the intake of utilization management and prior authorization requests
• Creating and processing authorization cases
• Generating correspondence and triaging faxes and shared mailboxes
• Processing documentation and conducting calculations and data processing
• Performing other administrative functions supporting utilization management

Requirements:

• 1+ year of administrative, technical support, customer service, or related experience
• Excellent verbal and written communication skills
• Ability to provide customer service and intake support through high-volume inbound telephone interactions
• Working knowledge of MS Office, including Word, Excel, and Outlook in a Windows-based environment
• Accessibility to high-speed DSL or cable modem for a home office
• Ability to work between 8 a.m. and 8 p.m. EST, with possible rotational weekend work

Preferred qualifications:

• Proficiency in electronic medical records and documentation programs
• Experience with medical terminology and/or ICD-10 codes
• Bachelor's degree in Business, Finance, or a related field
• Prior experience in member, provider, call center, or customer service telephone roles
• Experience with Utilization Review and/or Prior Authorization

Benefits:

• Competitive medical, dental, and vision benefits
• 401(k) retirement savings plan
• Time off, including paid time off, company and personal holidays, and paid parental and caregiver leave
• Short-term and long-term disability, life insurance, and other opportunities