Remote - UM Coordinator
Brea, California
Employer: Insight Global
Industry: Administrative Assistant
Salary: Competitive
Job type: Part-Time
Insight Global is looking for a UM coordinator to work for a large health services company. This person will be responsible for processing medical treatment requests in accordance with departmental policies, regulatory requirements, and client contractual agreements. They will be reviewing internal workflows and policies to determine if submitted requests are in scope for review and then redirect as required. They will be receiving inbound requests via email, fax, or provider portal for review related to medical treatment request, referrals, and reconsiderations. If there is information meeting in order to determine authorization, they will work with physician's offices to obtain missing information needed in order to submit a medical request.
We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com .
To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/ .
Required Skills & Experience
- 1-3 years of experience as a UM coordinator -- specifically requesting or submitting prior authorization requests or healthcare experience within claims/appeals & grievances
- 1+ year of specific oncology experience
- Good communication skills (English)
- Ability to meet established goals while balancing a workload and prioritizing assignments in a remote environment
Benefit packages for this role will start on the 31st day of employment and include medical, dental, and vision insurance, as well as HSA, FSA, and DCFSA account options, and 401k retirement account access with employer matching. Employees in this role are also entitled to paid sick leave and/or other paid time off as provided by applicable law.
We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com .
To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/ .
Required Skills & Experience
- 1-3 years of experience as a UM coordinator -- specifically requesting or submitting prior authorization requests or healthcare experience within claims/appeals & grievances
- 1+ year of specific oncology experience
- Good communication skills (English)
- Ability to meet established goals while balancing a workload and prioritizing assignments in a remote environment
Benefit packages for this role will start on the 31st day of employment and include medical, dental, and vision insurance, as well as HSA, FSA, and DCFSA account options, and 401k retirement account access with employer matching. Employees in this role are also entitled to paid sick leave and/or other paid time off as provided by applicable law.
Created: 2024-06-07
Reference: 361277
Country: United States
State: California
City: Brea
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