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UM Administration Coordinator 2 (Tuesday to Saturday Schedule)-- 100% REMOTE
3 years ago

**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 * 2 or more years within the Medical Field or Customer Service experience * Excellent verbal and written communication skills * Working knowledge of MS Office including Word, Excel, and Outlook in a Windows based environment and an ability to quickly learn new systems * Must be passionate about contributing to an organization focused on continuously improving consumer experiences * Must have accessibility to high speed DSL or Cable modem for a home office (Satellite internet service is NOT allowed for this role); recommended speed is 25x10 **Work shift will be in Eastern Time Zone Tuesday to Saturday | 8AM-5PM EST. Some overtime might be required, depending on business needs.** **Preferred Qualifications** * **STRONGLY PREFERRED:** Bilingual (English & Spanish) * A dedicated home office space, with a locked door, lacking ongoing interruptions to protect member PHI / HIPAA information * Proficient utilizing electronic medical record and documentation programs. * Proficient and/or experience with medical terminology and/or ICD-10 codes. * 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 <>

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