Provide support services to team members by answering incoming telephone calls, taking messages, researching information and building authorizations in the UM system Request medical records for pending authorizations or continued stay authorizations Generate UM letters for members and providers when authorizations are not required Refer to needed services in accordance to benefit plan Maintain accurate and complete documentation of required information that meets quality standards. Protect the confidentiality of the member information and adheres to the company policies regarding confidentiality Perform other duties as assigned

 

Qualifications:

High school diploma required; degree in health care related course an advantage but not required Minimum of one year experience in a health care related field. Preferred setting is hospital, medical doctor’s office, or health insurance company Experience with medical terminology and concepts used in the healthcare delivery system, provider office, or the insurance industry is required Computer literacy including Microsoft Office products Excellent oral and written communication skills for representation of clear and concise results Ability to manage significant workload, and to work efficiently under pressure, meeting established deadlines with minimal supervision Strong time management skills Must possess high degree of accuracy, efficiency, and dependability