Utilization Management Coordinator

Allina Health • Golden Valley, MN

1d • $18 - $25 • Onsite

About The Position

Allina Health is a not-for-profit health system that cares for individuals, families and communities throughout Minnesota and western Wisconsin. If you value putting patients first, consider a career at Allina Health. Our mission is to provide exceptional care as we prevent illness, restore health and provide comfort to all who entrust us with their care. This includes you and your loved ones. We are committed to providing whole person care, investing in your well-being, and enriching your career. This position will work within the Admissions office. Primary duties include data entry, phone communication with referral sources and family members, and meeting with patients and their families to complete the admission process. 1.0 FTE (80 hours per two-week pay period) 8-hour day shift No weekends.

Requirements

• Must be 18 years of age with education and/or experience needed to meet required functional competencies as listed on the job description
• 0 to 2 years of business office experience

Nice To Haves

• High school diploma or GED
• Associate's or Vocational degree in business, healthcare, or related field preferred
• 2+ years of experience working healthcare business office
• 2+ years of experience working in insurance operations
• 2+ years of experience working in Epic
• 2+ years of experience working in Microsoft Office
• 2+ years of experience working with revenue cycle and billing

Responsibilities

• Provides administrative support for utilization management processes.
• Triages and manages payer correspondence via phone, fax, or mail.
• Divides incoming work (faxes, phone-correspondence, mail) by priority level (prioritization) so that the highest priorities are handled first (time sensitive).
• Refers cases to the utilization management specialist.
• High-level of coordination is required to ensure specific payer requirements are met; must be able to quickly review information from multiple sources and direct questions and concerns to the appropriate staff person for resolution; must provide timely feedback to payers that requires research and coordination of information from various areas including UM specialists.
• Clarifies administrative requirements for patients with uncommon payers; receives timely feedback from multiple sources; maintains strong systems that ensure timely follow-up without losing focus on attention to details; keeps up with high volume of requests for information from multiple sources.
• Assists the UM Specialists in obtaining authorizations and certifications based on payer requirements.
• Concurrent review follow-up and data retrieval for payer requirements to support review process for UMS.
• Facilitates concurrent claim denial process.
• Other duties as assigned.

Benefits

• Medical/Dental
• PTO/Time Away
• Retirement Savings Plans
• Life Insurance
• Short-term/Long-term Disability
• Voluntary Benefits (vision, legal, critical illness)
• Tuition Reimbursement or Continuing Medical Education as applicable
• Student Loan Support Benefits to navigate the Federal Public Service Loan Forgiveness Program

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: No Education Listed