UM Administration Coordinator 2

Description

The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically 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 members. Decisions are typically focus on interpretation of area/department policy and methods for completing assignments. Works within defined parameters to identify work expectations and quality standards, but has some latitude over prioritization/timing, and works under minimal direction. Follows standard policies/practices that allow for some opportunity for interpretation/deviation and/or independent discretion.

Required Qualifications

• High School Diploma or equivalent
• Proficient and/or experience with medical terminology
• Working knowledge of MS Office including Word, Excel, and Outlook in a Windows based environmentand an ability to quickly learn new systems
• CGX experience
• Work schedule 9:00am to 6:00pm, hours subject to change based on busines needs

Preferred Qualifications

• 1 or more years administrative or technical systems and relative process support experience
• Proficient utilizing electronic medical record and documentation programs
• Prior member service or customer service telephone experience
• Experience with Utilization Review and/or Prior Authorization, preferably within a managed care organization
• Licensed Practical Nurse/LPN

Additional Information

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Scheduled Weekly Hours

40