UM Administration Coordinator
Core
Provides non-clinical administrative support for utilization management activities to ensure members receive appropriate care and services.
Role type
Administrative Coordinator (Utilization Management)
Builds
Operational workflows for member care and services
Domain
Healthcare / Managed Care
Deliverable
Dashboards & analysis
Required skills
Administrative support, attention to detail, computer navigation, multi-tasking, medical terminology, ICD-10 codes, electronic medical record systems
Preferred skills
Contact center experience, healthcare experience, utilization review, prior authorization, work from home experience
Technologies
Electronic medical record systems, ICD-10 coding tools
Responsibilities
Support utilization management policies and procedures, maintain accurate records and documentation, prioritize assigned work within timeframes, escalate issues outside guidelines, collaborate with internal teams
Seniority
Entry-level, individual contributor