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.
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
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Scheduled Weekly Hours
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