Remote UM Coordinator

Location: Remote
Compensation: To Be Discussed
Staff Reviewed: Thu, Apr 04, 2024
This job expires in: 18 days

Job Summary

A company is looking for a Remote Utilization Management (UM) Coordinator.

Key Responsibilities:
  • Monitor fax folders and verify eligibility for services
  • Enter pre-service requests in the system and process medical service requests
  • Contact providers for necessary documentation and maintain call documentation for expedited requests

Required Qualifications:
  • Minimum 1 year experience in a medical setting with IPAs
  • Knowledge of ICD10, CPT codes, Managed Care Plans, and referral systems
  • High School Diploma or equivalent education and experience
  • Knowledge of Medicare Managed Care Plans and proficiency in Microsoft Office
  • Experience with UM criteria and bilingual English/Spanish preferred

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