Intake Coordinator-Utilization Management FULLY REMOTE (Health Plan experience required)

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

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