Temporary Coordinator - Utilization Management Outpatient (Hybrid)

About the position

This position is a temporary role facilitated through one of our contracted agencies and is not a direct employment opportunity with IEHP. The contracted agency offers an assignment length of up to six months, during which the candidate will provide support for IEHP. Find joy in serving others with IEHP! We welcome you to join us in 'healing and inspiring the human spirit' and to pivot from a 'job' opportunity to an authentic experience! Under the general direction of the UM Outpatient Manager and Supervisor, the Outpatient UM Coordinator, is a high paced position that requires timely processing of authorization requests, verifying eligibility and obtaining additional information as requested by Medical Management or Utilization Management Nurses. This position requires that one be organized, ability to multitask with a working knowledge of ICD.9/10, CPT Coding and Medical Terminology. The Outpatient UM Coordinator will also ensure that provider calls are responded to in an accurate and timely manner while always maintaining highest level of customer service. Commitment to Quality: The IEHP Team is committed to incorporate IEHP's Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation.

Responsibilities

• Timely processing of authorization requests
• Verifying eligibility and obtaining additional information as requested by Medical Management or Utilization Management Nurses
• Responding to provider calls in an accurate and timely manner
• Maintaining the highest level of customer service

Requirements

• Minimum of three (3) years of experience as a data entry specialist or coordinator
• Experience as a data entry specialist or coordinator preferably in an HMO or Managed Care setting
• High school diploma or GED required
• Associate's degree or Bachelor's degree from an accredited institution preferred
• Medical Assistant certificate preferred

Nice-to-haves

• Knowledge of ICD-9/10 and CPT codes
• Managed Care or physician office experience
• Skilled in computer applications, including word processing, database, and spreadsheets
• Good customer service skills

Benefits

• Temporary role with an assignment length of up to six months