Utilization Management Administration Coordinator -- Home Health
Core
Supports utilization management administration by handling high-volume inbound telephonic interactions, processing prior authorization requests, and managing administrative tasks for healthcare members and providers.
Role type
Administrative coordinator (utilization management)
Builds
Authorization cases, correspondence, and processed documentation for healthcare members and providers
Domain
Healthcare / Insurance / Utilization Management
Required skills
Verbal communication, customer service, data processing, organizational skills, time management, MS Office proficiency, system navigation
Preferred skills
Medical terminology, ICD-10 codes, electronic medical record systems, prior authorization experience
Technologies
MS Office (Word, Excel, Outlook), electronic medical record systems, utilization management software
Responsibilities
Answering high-volume inbound calls, processing prior authorization requests, creating and updating authorization cases, triaging faxes and mail, generating correspondence, conducting data calculations
Seniority
Entry-level to Mid-level, individual contributor