UM Coordinator

Imperial Management Administrators Services

This position processes authorizations and ensures that all information is correct before submitting for approval. All authorizations should be entered within a timely manner with complete data, as well as, all the documents that will support medical necessity. The UM Coordinator will need to have strong written/communication skills in order to provide Medical Director, providers, and members necessary information to ensure the delivery of high-quality effective healthcare.

Duties & Responsibilities include but not limited:

• Open and process UM incoming faxes periodically throughout the business day

• Answer phones: Providing customer service to calls from providers and/or members

• Print approvals and modification letters from the database on a daily basis

• Scan any faxes to existing authorizations in the system

• Route medical reviewer’s cases to appropriate personnel in timely manner on a daily basis

• Verify duplicate requests and call/notify doctor’s office of referral request cancellations

• Contact and follow up with providers on pending clinical/documents within the turnaround time. (Routine 5 days, Urgent 72 hours)

• Verify and update all missing information (DOS, POS, outpatient or inpatient) before submitting for approval

• Must have experience in making outgoing phone calls as well as taking incoming phone inquiries

**Perform additional UM functions as required by the department

Skills/Abilities

• Demonstrate proficiency in 10 key and computer use.

• Excellent communication

• Detail oriented

• Self-motivated

• Work effectively in a fast pace work environment

• Strong organizational and task prioritization

• Establish the ability to multitask and adjust to the workload

• Strong work ethic

• Provide positive attitude

Education:

High School Diploma

1 year of experience REQUIRED

To apply for this job please visit forms.office.com.