UM Coordinator, Inpatient (Remote | Part-Time Weekends | PT | Weekday Training Required)
About The Position
Alignment Health is seeking an organized, detail-oriented, customer service-oriented remote Inpatient UM Coordinator to support the utilization management team. The role assists with census and admissions management, retrieving medical records, and supporting discharge planning while working closely with the Case Management Supervisor, Manager, and Director of Healthcare Services. This is a part-time weekend position requiring availability every Saturday and Sunday during Pacific Time hours. The schedule is either 7:00 AM–4:00 PM or 11:00 AM–7:00 PM. Before beginning the weekend schedule, the employee must attend four weeks of mandatory weekday training, Monday through Friday for four hours per day within the 8:00 AM–5:00 PM Pacific Time window. Training hours may vary based on trainer availability and business needs, and attendance throughout the full training period is required.
Requirements
- Inpatient concurrent review experience.
- Experience with census and admission management.
- Experience in discharge planning.
- Experience entering referrals and prior authorizations.
- Experience with Medicare Advantage.
- Experience with hospital and/or facility backend admissions.
- Knowledge of medical terminology.
- Knowledge of ICD-10 and CPT codes.
- Knowledge of Medicare, HMO, MMO, and managed care plans.
- Computer proficiency.
- High school diploma or GED, or four additional years of experience in lieu of education.
- Proficiency in Microsoft Office, including Outlook, Excel, and Word.
- Ability to type a minimum of 50 words per minute.
- Organized and detail-oriented, with the ability to file systematically.
- Good interpersonal skills.
- Strong written, verbal, and telephonic communication skills.
- Fluent in reading, writing, and speaking English.
- Availability to work every Saturday and Sunday on one of the listed Pacific Time schedules.
- Availability for four weeks of mandatory weekday training, Monday through Friday, four hours per day within the 8:00 AM–5:00 PM Pacific Time window.
Nice To Haves
- Medical assistant experience.
- Experience working with Access Express / Portal or Epic.
- Medical Terminology Certificate.
Responsibilities
- Assist with daily census by entering face sheets for hospitals and skilled nursing facilities (SNFs).
- Obtain medical records from hospitals and SNFs and attach them to authorizations.
- Enter referral requests and authorizations in the system using ICD-10 and CPT coding.
- Monitor fax folders.
- Complete and document tasks assigned by a nurse.
- Maintain documentation on facilities contacted.
- Assist with maintaining and updating member records.
- Assist with mailing or faxing correspondence to facilities as needed.
- Request medical records from facilities as needed in relation to member activities.
- Attend and participate in case management presentations, as appropriate.
- Recognize work-related problems and contribute to solutions.
- Meet deadlines and prioritize tasks according to department policies, standards, and needs.
- Maintain confidentiality of information between and among health care professionals.
- Contribute as a positive team player.
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Part-time
Career Level
Entry Level
Education Level
High school or GED
