**FIND YOUR FUTURE** We're excited about the potential people bring to our organization. You can grow your career here while enjoying first-class perks, benefits and a culture that fosters growth, innovation and collaboration. **Overview** The UMA provides administrative support to the Utilization Management, departments. The UMA is the first line of review in the UM prior authorization process, reviewing for eligibility and benefit. The UMA is responsible for intake of clinical information, data entry of requests, preparation of the documents for clinical review and/or administrative review per standard operating procedures and various other tasks in support of initiatives and programs. The UMA is accountable for maintaining departmental productivity and quality metrics and completing assigned tasks in compliance with regulatory and departmental requirements. **Qualifications** + High School diploma or GED required. + Two (2) years of medical office or health insurance experience required OR one (1) year of Independent Health temporary experience working within the same position and/or department required. + Solid verbal, written and interpersonal communication skills required. Demonstrated customer service skills required. + Knowledge/experience of medical billing procedures, CPT, and ICD-9 coding preferred. + Demonstrated proficiency in data entry. + Excellent organization skills, with attention to detail and follow through. + Ability to meet and/or exceed all established performance standards on a consistent basis (i.e., regulatory timeframes, accuracy, and quality). + Demonstrated proficiency with PC navigational skills. + Ability to work flexible hours and/or overtime as needed. + Proven examples of displaying the IH values: Passionate, Caring, Respectful, Trustworthy, Collaborative and Accountable. **Essential Accountabilities** + Process all UM service requests received by phone, fax, mail, Info clique and Midas. + Complete verification of eligibility and benefits for the requested service. + Initiates case for review in all pertinent systems to include, but not limited to: Macess, Aerial, Siebel and Health Rules, and routes cases to the appropriate department for review. + Complete all necessary data entry and action to complete the review process for each request. This includes accurately documenting and issuing appropriate written and verbal notification to providers and members within the regulatory timeframes. + Ensures compliance with all regulatory and departmental requirements. Accountability for attainment of productivity and quality metrics. + Assist the supervisor with the onboard of new staff as needed. + Research and correction of authorization discrepancies received through Siebel and Macess. + Review documents received by fax and file to appropriate work queue by checking various systems to obtain information to make determination. Also file emailed documents to the appropriate member’s folder. + Handle receipt and processing of all department incoming mail which includes opening, sorting, prepping and scanning documents. **Immigration or work visa sponsorship will not be provided for this position** Hiring Compensation Range: $20.00 - $21.50 hourly _Compensation may vary based on factors including but not limited to skills, education, location and experience._ In addition to base compensation, associates may be eligible for a scorecard incentive, full range of benefits and generous paid time off. The base salary range is subject to change and may be modified in the future. _As an Equal Opportunity / Affirmative Action Employer, Independent Health and its affiliates will not discriminate in its employment practices due to an applicant’s race, color, creed, religion, sex (including pregnancy, childbirth or related medical conditions), sexual orientation, gender identity or expression, transgender status, age, national origin, marital status, citizenship and immigration status, physical and mental disability, criminal record, genetic information, predisposition or carrier status, status with respect to receiving public assistance, domestic violence victim status, a disabled, special, recently separated, active duty wartime, campaign badge, Armed Forces service medal veteran, or any other characteristics protected under applicable law._ _Click here (http://www.independenthealth.com/about/careers/additional-eeo-aap-information)_ _for additional EEO/AAP_ _or Reasonable Accommodation_ _information._ Current Associates must apply internally via the Job Hub app. The Independent Health Family of Companies, headquartered in Buffalo, NY, serves nearly 400,000 members and provides innovative health care products and benefits designed to engage consumers in their health and well-being. Established in 1980, our comprehensive portfolio includes Pharmacy Benefit Dimensions, Reliance Rx, Nova Healthcare Administrators, Care for You and the Independent Health Foundation. Our culture sets us apart. Our core values drive who we are and the work we do. As a member of our family, you’re part of something special, in your work and in the community. We understand and appreciate that everyone has unique experiences, perspectives and identities which is why we pledge to create a safe space where all people and ideas are welcomed. We are here to continue learning and to generate important dialog. We are committed to doing what matters most - reaching out, working together, and caring for our community. A healthy community benefits everyone who lives in it. You too can be part of making difference in the lives of others, together we achieve so much more. Please click here (http://www.independenthealth.com/about/community-report) to view our Community Reports. **Apply today and join us on the journey to a happier, healthier, and more inclusive community.** We are committed to providing reasonable accommodations for qualified individuals with disabilities and disabled veterans. An applicant for employment in need of an accommodation to participate in the application and recruitment process should contact Human Resources at: accommodations@independenthealth.com or Human Resources, 511 Farber Lakes Drive, Williamsville, NY 14221. _Please note, we do not accept unsolicited resumes. We do not accept resumes from headhunters, placement agencies, or other suppliers that have not signed a formal agreement with us._