UM Coordinator in Woburn, MA at Beacon Health Options

Date Posted: 1/27/2018

Job Snapshot

Job Description

ABOUT THE POSITION

We are currently seeking a dynamic UM Coordinator to join our team at our office in Woburn.  The UM Coordinator provides administrative support to the Prior Authorization Team. This position collaborates with clinical leadership to maintain operational efficiency within the team. Scheduling of work hours is in accordance with business needs and may include evening and weekend responsibilities when needed.

Potential overnight and Weekend coverage needed

Position Responsibilities:

  • Responsible for completing triage assessments to route utilization management requests and other phone calls to clinicians when overflow system in place.

  • Telephonic queue management

  • Update authorization information in Beacon’s clinical system

  • Identify resources for Beacon members or providers including coordination of access to 24 hour levels of care with providers when indicated

  • Data entry of Post Service Review Charts

  • Organize and maintain data tracking system for individuals awaiting access to care, including coordination of clinician assignments for follow up, and ability to escalate to a supervisor when indicated.

  • Work with supervisor on data collection

  • Manage incoming faxes

  • Serve as a backup support for all other administrative duties within the clinical department.

    Other duties as assigned

    Position Requirements:

Education: High School diploma with a minimum of at least 3 years of comparable experience in a managed care setting or an associate’s degree in a human service, psychology or related field. Bachelor’s Degree in human services, psychology or related field preferred.

Knowledge, Skills & Abilities:

Strong interpersonal skills and excellent written and verbal communication skills, with experience in customer service preferred. Advanced level of PC skills required. Knowledge of computer and phone systems including Excel and Share Point.

Ability to multi-task with excellent prioritization and organization skills.

TO APPLY

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Beacon Health Strategies, LLC., a Beacon Health Options company, is proud to be an Equal Opportunity Employer as well as a Drug Free Work Environment. EOE/M/F/Veterans/Disabled