Job description
Job Duties
• Manage intake of provider requests through various modes of submission include but not limited to, secure fax, e-form or telephonic requests.
• Create UM requests in accordance with Customer’s policies and procedures and documentation guideline.
• Provide current review status updates to requesting provider offices or receipt confirmations.
• Provide information regarding clinical information requirements, additional clinical information requests and education on Customer’s UM processes and requirements to providers.
• Provide support to the UM nurses as needed to complete their clinical review requirements.
• Perform other duties as assigned by the UM nurses.
• Participate in department meetings, training and audit activities equal to Customer’s employees.
Role/Education Requirements
• Minimum of 2 years of recent health plan experience
• High level of expertise in UM services
• Experience with MCG Criteria (preferred but not required)
Role Details
•… Job Type: Contract
• Pacific business hours, Monday through Friday
• Work Location: Remote
Job Types: Full-time, Contract
Pay: $23 per hour 1099
Expected hours: 40 per week
Schedule:
• 8 hour shift
• Monday to Friday
Experience
• Health insurance plan: 2 years (Required)
Work Location: Remote
Job Types: Full-time, Contract
Pay: $23.00 per hour
Expected hours: 40 per week
Schedule:
• Monday to Friday
Experience:
• Customer service: 1 year (Preferred)
• Intake Coordinator-Health Plan: 2 years (Required)
Work Location: Remote
