Administrative Assistant/UM Specialist - Care Management (Acute Care)

Glens Falls Hospital • Glens Falls, NY

78d • $18 - $28

About The Position

The Administrative Assistant/UM Specialist reports to the Director of Case Management and collaborates with the Case Management Leadership team and the Utilization Management team. This dual position is responsible for ensuring productive and efficient day-to-day operations by providing extensive administrative support to the Case Management Department. The Utilization Specialist will ensure the coordination of activities with the Utilization Management Department. Primary responsibility is for support of payor materials, fiscal monitoring, and analysis of trends that require actions. The Administrative Assistant/UM Specialist must be able to handle a high-volume workflow and should be able to answer various questions from co-workers and patients regarding the operation of the department.

Requirements

• High School Diploma
• At least 10 years of healthcare office experience
• Excellent customer service experience
• NYS License to operate a Motor Vehicle
• Knowledge of procedures and data flow in a healthcare organization
• Understanding of computer systems, as well as knowledge of computer programs such as Word and Excel
• Excellent verbal and written communication skills
• Ability to balance multiple priorities and meet deadlines without supervision
• Excellent organization and time management skills
• Exhibit respect for GFH and Case Management’s culture and many accomplishments

Responsibilities

• Receive and screen visitors and telephone calls; provide information and resolve routine issues exhibiting good judgement and sound understanding of policy and procedures.
• Oversee daily coordination of Utilization Management Office activities. Communicate information to the appropriate staff/department/payor within the established guidelines.
• Organize meetings by notifying participants, making room arrangements, preparing agendas, and required informational material. Attend meetings and prepares minutes.
• Coordinate, track and follow up on all correspondence regarding DRG rebuttals, cost outliers, quality issues and appeals, utilization management concerns, HINNS and audit requests.

Benefits

• Competitive benefits offerings available to active, full-time and part-time employees who work at least 30 hours per week.

What This Job Offers

• Education Level: High school or GED
• Number of Employees: 1,001-5,000 employees