Administrator coordinating estates services for the Royal School of Military Engineering contract at Babcock. Manage queries, schedules, and documentation to support engineering teams effectively.
CC
Hybrid Utilization Management Administration Coordinator – Phone Intake
Posted last month
About the role
- Utilization Management Administrative Coordinator providing high-quality support to healthcare providers. Responsibilities include handling calls for referral authorizations and processing inquiries per UM protocols and policies.
Responsibilities
- Provide high-quality support to healthcare providers contacting the call center
- Respond promptly and professionally to incoming calls from providers
- Accurately gather, verify, and enter provider and member information into the appropriate systems
- Review and process referral authorization requests according to established UM protocols and regulatory requirements
- Collaborate with clinical and administrative staff to resolve issues
- Provide clear and courteous information regarding UM processes
- Monitor call queues and manage multiple tasks to maintain service level agreements
- Identify and escalate complex or urgent cases to the appropriate clinical or supervisory staff as needed
- Maintain thorough documentation of all interactions
Requirements
- 1 or more years administrative or technical support experience
- Excellent verbal and written communication skills
- Working knowledge of MS Office including Word, Excel, and Outlook in a Windows based environment
- 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 10Mx1M
- Proficient utilizing electronic medical record and documentation programs
- Proficient and/or experience with medical terminology and/or ICD-10 codes
- Bachelor's Degree in Business, Finance or a related field
- Prior member service or customer service telephone experience desired
- Experience with Utilization Review and/or Prior Authorization, preferably within a managed care organization
Benefits
- medical, dental and vision benefits
- 401(k) retirement savings plan
- time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave)
- short-term and long-term disability
- life insurance and many other opportunities
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