[Hiring] Utilization Management Administrative Coordinator @UnityPoint Health

Role Description

UnityPoint Health is seeking a Utilization Management Administrative Coordinator to join our team! Under the guidance and supervision of the Manager of Utilization Management and RN UM Specialists, the Administrative Coordinator serves a key role in supporting the affiliate-level Utilization Management and denials processes by coordinating incoming requests for information from multiple payer sources. While the role is multifaceted, the primary focus relates to financial risk mitigation and regulatory compliance.

• Conducting maintenance and utilization of EPIC work queues that support obtaining authorization for patient stays.
• Communicating with payers via telephone, fax, or email, ensuring clinical requests are sent in a timely manner and in a thorough fashion.
• Acquiring an understanding of third party authorizations, verification, and denials, and proceeding with notification/documentation to appropriate parties.
• Providing clerical/administrative support to Utilization Management nurses as assigned.

Qualifications

• Associates degree or above in related field or 2 years direct and applicable work experience.
• Patient care experience/knowledge.
• Customer Service or Administrative Support experience.
• Written & verbal communication proficiency.
• Insurance billing or claims processing preferred.
• Experience working in databases preferred.
• Valid driver’s license when driving any vehicle for work-related reasons.

Requirements

• Microsoft Office proficiency (Outlook, Word, Excel).
• Customer/patient focused.
• Ability to work with minimal supervision.
• Ability to manage priorities/deadlines.
• Excellent verbal and written communication skills.
• Ability to multi-task and prioritize workload.
• Flexible and adaptable to changing environment.
• Excellent critical thinking and problem solving skills.
• Positive attitude with team-oriented approach.

Benefits

• Paid time off, parental leave, 401K matching, and an employee recognition program.
• Dental and health insurance, paid holidays, short and long-term disability, and more.
• Pet insurance for your four-legged family members.
• Early access to earned wages with Daily Pay.
• Tuition reimbursement to help further your career.
• Adoption assistance to help you grow your family.