Description The UM Administration Coordinator 4 contributes to administration of utilization management.
The UM Administration Coordinator 4 assumes ownership and leads advanced and highly specialized administrative/operational/customer support duties that require independent initiative and judgment.
Responsibilities + Provides non-clinical support for the policies and procedures ensuring best and most appropriate treatment, care or services for members.
Decisions are regarding the daily priorities for an administrative work group and/or external vendors, including coordinating work activities and monitoring progress towards schedules and goals.
Often oversees work of others and/or is the primary administrative owner of a main process, program, product or technology.
Works within broad guidelines with little oversight.
Role Essentials Candidates for this position must have the following skills: + High School Diploma + 5+ years Administrative or technical support experience + Excellent verbal and written communication skills + Proven ability as a mentor, trainer or preceptor + Excellent verbal and written communication skills + Flexible and adaptable to constant change in shifts at work + Demonstrate professionalism in oral and written communication
Advanced knowledge of MS Office including Word, Excel, and Outlook in a Windows based environment and an ability to quickly learn new systems + Proficient utilizing electronic medical record and documentation programs + Proficient and/or experience with medical terminology and/or ICD-10 codes + Must have accessibility to high speed DSLor Cable modem for a home office (Satellite internet service is NOT allowed for this role); recommended speed is 10Mx1M Role Desirables + 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 Scheduled Weekly Hours 40 About Us Equal Opportunity Employer It is our policy to recruit, hire, train, and promote people without regard to race, color, religion, sex, national origin, age, sexual orientation, gender identity or expression, disability, or veteran status, except where age, sex, or physical status is a bona fide occupational qualification.
View the EEO is the Law poster.
If you are an individual with a disability and require a reasonable accommodation to complete any part of the application process, or are limited in the ability or unable to access or use this online application process and need an alternative method for applying, you may contact for assistance.