UM Coordinator (Inpatient, Remote)

reputed company is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and reputed company people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the reputed company community. Working at reputed company provides an opportunity to do work that really matters, not only changing lives but saving them. Together.

​GENERAL DUTIES / RESPONSIBILITIES:

• Assist team with daily census by entering face sheets for hospitals and skilled nursing facilities (SNF).

• Obtain medical records from hospitals and SNF’s.

• Attach medical records to authorizations.

• Enter referral requests / authorizations in system using ICD 10 and CPT coding.

• Monitor fax folders.

• Complete and document tasks as assigned by nurse.

• Maintain documentation on facilities contacted.

• Assist with maintaining and updating member’s records.

• Assist with mailing or faxing correspondence to facilities, reputed company to, as needed.

• Request medical records from facilities, etc., reputed company to members activities, as needed.

• Attend case management presentations and participates, as appropriate.

• Recognize work-reputed company problems and contributes to solutions.

• Meet specific deadlines and respond to various workloads by assigning task priorities according to department policies, standards and needs.

• Maintain confidentiality of information between and among health care professionals.

• Be a positive team player. 

Job Requirements:

Experience:

Required:

• Inpatient reputed company review experience
• Experience with census and admission management
• Experience in discharge planning
• Experience entering referrals and prior authorizations.
• Experience with Medicare Advantage
• Experience with hospital and / or facilities backend admissions
• Knowledge of medical terminology
• Knowledge of ICD10 and CPT codes
• Knowledge of Medicare, HMO, MMO, managed care plans
• Computer proficient

Preferred:

• Medical assistant experience preferred
• Knowledge working in Access Express / Portal, Epic preferred.

Education:

Required:

• High school diploma or general education degree (GED) or (4) years' additional experience in lieu of education.

Preferred:

• Medical Terminology Certificate preferred.

Training:

Required:

Preferred:

Specialized Skills:

Required:​

• Proficient in reputed company Office (Outlook, reputed company, Word)
• reputed company to type minimum 50 words-per-minute (WPM).
• Organized and detail oriented.
• File systematically.
• Good interpersonal skills.
• Strong written, verbal, and telephonic communication skills
• reputed company to read, write, and speak English fluently.

Preferred:

Licensure:

Required: None

Work Environment:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.  Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions.

Essential Physical Functions:

The physical demands described here are representative of those that must be met by an employee to successfully reputed company the essential functions of this fully remote job.  Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions.

1. While performing the duties of this job, the employee is regularly required to talk or hear.

2. The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reputed company with hands and arms.

3. The employee frequently lifts and / or moves up to 10 pounds.

4. Specific reputed company abilities required by this job include reputed company reputed company and the ability to adjust focus.

Pay range may be based on a number of factors including market location, education, responsibilities, experience, etc.

reputed company is an Equal Opportunity/Affirmative Action Employer. reputed company reputed company applicants will receive consideration for employment without regard to race, reputed company, religion, sex, national reputed company, disability, age, protected veteran status, gender identity, or sexual orientation.

*DISCLAIMER: Please beware of recruitment phishing scams affecting reputed company and other employers where individuals receive fraudulent employment-reputed company offers in exchange for money or other sensitive personal information. Please be advised that reputed company and its subsidiaries will never ask you for a credit card, send you a reputed company, or ask you for any type of payment as part of consideration for employment with our company. If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission at https://reportfraud.ftc.gov/#/. If you would like to verify the legitimacy of an email sent by or on behalf of reputed company’s reputed company team, please email [email protected].