Coordinator, UM Intake – Fax Admin

This is a fully remote position, open to applicants in United States.

📋 Description

• Assist the Utilization Management Team with their administrative functions.

• Process incoming faxes by evaluating content and adjusting labels for proper document classification.

• Analyze Service Level Agreement Grids to ascertain, compute, and document turnaround times.

• Track unsuccessful fax transmissions and facilitate the resending of correspondence through the appropriate channels.

• Oversee the shared email inbox by assessing clinician inquiries, gathering clinical documents, and attaching them for case evaluation.

• Execute additional administrative duties as required.

• Achieve established UM Intake Objectives and Key Results.

• Work collaboratively with the Manager of UM Intake, prior authorization teams, clinical review teams, and other UM personnel.

⛳️ Requirements

• High school diploma or GED is required.

• 1–3 years of experience in a population management, managed care/insurance, or hospital medical management environment.

• Basic understanding of medical records with the capability to locate and verify member information.

• Familiarity with Commercial, Medicare, and Medicaid health insurance sectors.

• Working knowledge of CPT/HCPCS medical coding systems.

• Ability to adjust to changing situations and perform detailed tasks accurately.

• Proficiency in Windows PC applications, including Outlook, Word, Excel, and OneNote.

• Strong keyboard skills and navigation proficiency.

• Team-oriented with a strong work ethic and dedication to productivity.

• Access to high-speed internet of over 10 Mbps at home.

• For call center roles, the ability to connect directly to the home internet router.

• Completion of a comprehensive background check, in-person I-9 verification, and potential drug screening prior to employment.

• Submission of a government-issued photo ID and identity verification during the interview process.

• Final interviews may necessitate onsite attendance.

🏝️ Benefits

• Work/life balance.

• Flexible work arrangements.

• Autonomy in your role.

• Commitment to diversity and inclusion.

• Health insurance benefits for eligible employees.