What are the responsibilities and job description for the Temporary Coordinator - Utilization Management Outpatient (Hybrid) position at Inland Empire Health Plan?
Overview
This position is a temporary role facilitated through one of our contracted agencies and is not a direct employment opportunity with IEHP. The contracted agency offers an assignment length of up to six months, during which the candidate will provide support for IEHP.
What you can expect!
Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience!
Under the general direction of the UM Outpatient Manager and Supervisor, the Outpatient UM Coordinator, is a high paced position that requires timely processing of authorization requests, verifying eligibility and obtaining additional information as requested by Medical Management or Utilization Management Nurses. This position requires that one be organized, ability to multitask with a working knowledge of ICD.9/10, CPT Coding and Medical Terminology. The Outpatient UM Coordinator will also ensure that provider calls are responded to in an accurate and timely manner while always maintaining highest level of customer service.
Commitment to Quality: The IEHP Team is committed to incorporate IEHP’s Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation.
Key Responsibilities
Qualifications
Education & Requirements
- Minimum of three (3) years of experience as a data entry specialist or coordinator
Experience as a data entry specialist or coordinator preferably in an HMO or Managed Care setting
High school diploma or GED required
Associate's degree or Bachelor's degree from an accredited institution preferred
Medical Assistant certificate preferred
Key Qualifications
- Requires knowledge of ICD-9/10 and CPT codes
- Managed Care or physician office experience a must
- Skilled in computer applications, including word processing, database, and spreadsheets
- Good customer service skills
- While performing the duties of this job, team member is occasionally required to stand; walk; sit; use hands to finger, handle or feel objects, tools or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch or crawl; talk or hear; and use taste or smell
- The team member must occasionally lift or move up to 25 pounds
- Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception and the ability to adjust focus
Start your journey towards a thriving future with IEHP and apply TODAY!
Work Model Location
Hybrid (All IEHP positions approved for telecommute or hybrid work locations may periodically be required to report to IEHP’s main campus for mandatory in-person meetings or for other business needs as determined by IEHP leadership)
Pay Range
USD $23.98 - USD $23.98 /Hr.Salary : $24
