Appeals Back End UM Admin Coordinator
Core
Administrative support for utilization management (UM) programs, reviewing and processing information, maintaining records, and supporting communications with internal and external stakeholders.
Role type
Administrative Coordinator (Utilization Management)
Builds
Utilization management operations and processes
Domain
Healthcare / Health Insurance
Deliverable
dashboards & analysis
Required skills
Data entry, record maintenance, Microsoft Office (Word, Excel, Outlook), prioritization, attention to detail, independent work
Preferred skills
EMR systems, medical terminology, healthcare coding (ICD-10), customer service, Prior Authorization, Care Management
Responsibilities
Review and process information and records accurately; Coordinate communications with internal teams and external stakeholders; Support operational activities for care and service delivery; Follow established policies and procedures; Prioritize workload to meet performance expectations
Seniority
Entry-level to Mid-level, individual contributor