Utilization Management Coordinator

Location:

Pay Range:

Position Summary: To act as a liaison between the financial counselors and business office staff and to provide support and training to the Utilization management. Works closely with management team in business office to ensure all internal and external customer service issues are addressed.

Education:

• Associates Degree required

Certifications/Licenses:

• N/A

Previous Experience:

• Minimum three years of experience in obtaining insurance authorizations in a medical setting, and/or other relevant clerical or case management work in a medical office setting. Must have excellent interpersonal and communication skills, be very detail-oriented and a self-starter.

Core Capabilities:

• Analysis & Critical Thinking: Critical thinking skills including solid problem solving, analysis, decision-making, planning, time management and organizational skills. Must be detailed oriented with the ability to exercise independent judgment.
• Interpersonal Effectiveness: Developed interpersonal skills, emotional intelligence, diplomacy, tact, conflict management, delegation skills, and diversity awareness. Ability to work effectively with sensitive and confidential material and sometimes emotionally charged matters.
• Communication Skills: Good command of the English language. Second language is an asset but not required. Effective communication skills (oral, written, presentation), is an active listener, and effectively provides balanced feedback.
• Customer Service & Organizational Awareness: Strong customer focus. Ability to build an engaging culture of quality, performance effectiveness and operational excellence through best practices, strong business and political acumen, collaboration and partnerships, as well as a positive employee, physician and community relations.
• Self-Management: Effectively manages own time, conflicting priorities, self, stress, and professional development. Self-motivated and self-starter with ability work independently with limited supervision. Ability to work remotely effectively as required.
• Must be able to work effectively in a fast-paced, multi-site environment with demonstrated ability to juggle competing priorities and demands from a variety of stakeholders and sites.
• Computer Skills:
  • Proficiency in Microsoft Office: Word, Excel, PowerPoint, and Outlook required.
  • Previous experience with PowerBI, Centricity, Flatiron/Onco preferred.

Travel : <25%

Standard Core Workdays/Hours : Monday to Friday 8:00 AM - 5:00 PM.

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