What are the responsibilities and job description for the UM Administration Coordinator 2 (Schedule: Monday - Friday) - Miami, FL position at CarePlus Health Plans, Inc.?
Description
The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments.Responsibilities
The UM Administration Coordinator 2 provides non-clinical support for the policies and procedures ensuring best and most appropriate treatment, care or services for members. Decisions are typically focus on interpretation of area/department policy and methods for completing assignments. Works within defined parameters to identify work expectations and quality standards, but has some latitude over prioritization/timing, and works under minimal direction. Follows standard policies/practices that allow for some opportunity for interpretation/deviation and/or independent discretion.
Required Qualifications
- High School Diploma or equivalent.
- 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 and an ability to quickly learn new systems.
- Must be passionate about contributing to an organization focused on continuously improving consumer experiences.
Preferred Qualifications
- Proficient utilizing electronic medical record and documentation programs.
- Proficient and/or experience with medical terminology and/or ICD-10 codes.
- Prior member service or customer service telephone experience desired.
- Experience with Utilization Review and/or Prior Authorization, preferably within a managed care organization.
- Bilingual a plus (English, Spanish).
Additional Information
Work Schedule: Monday - Friday from 8a - 5pm.
As part of our hiring process, we will be using an exciting interviewing technology provided by Montage, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making.
If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes.
If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.
Scheduled Weekly Hours
40