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
Similar Remote Jobs
Intake Coordinator-Utilization Management FULLY REMOTE (Health Plan experience required)
Posted on: 07-11-2024 05:43
American Express Virtual Data Entry Positions: Flexible Remote Work
Posted on: 07-11-2024 05:43
Online Virtual Assistant Jobs (Entry Level/No Experience) ? Part-Time
Posted on: 07-11-2024 05:43
Remote Work From Home Data Entry Clerk / Typing
Posted on: 07-11-2024 05:43
Customer Service Representative - Remote & 19 plus Hourly
Posted on: 07-11-2024 05:43
Entry Level Life Agent - No Experience Necessary (Remote)
Posted on: 07-11-2024 05:43
Hiring Now: Virtual Special Education Teacher for Lebec, CA
Posted on: 07-11-2024 05:43
Remote Django Developer Job for Online Ticketing Company (Full-time)
Posted on: 07-11-2024 05:43
Southwest Airlines Virtual Assistant Remote Jobs - No Experience
Posted on: 07-11-2024 05:43
Data Entry No Experience, Aetna Insurance Jobs For Nurses
Posted on: 07-11-2024 05:43
Data Analyst 1
Posted on: 03-01-2025 07:35
Police Officer - Entry Level
Posted on: 08-11-2024 05:09
Program Management Sup I - Remote
Posted on: 21-02-2025 00:00
Delta Airlines Data Entry Jobs ? (Part Time Remote Jobs)
Posted on: 22-07-2024 03:03
Principal Software Engineer - Retail Media (Remote)
Posted on: 23-02-2025 00:00
Warehouse Inventory Clerk
Posted on: 20-01-2025 00:00
Senior Analyst Strategic Finance & Analytics, Technology
Posted on: 23-09-2024 00:00
Online Data Entry Jobs – Remote Entry Level
Posted on: 12-09-2024 00:00
Senior Engineer - Messaging & Event Services (REMOTE)
Posted on: 16-07-2024 18:48
Senior OnBase Application Engineer - Remote
Posted on: 16-07-2024 18:43