Utilization Management Operations Trainer - Utilization Management
About The Position
Under the supervision of the UM Operations Manager, the UM Operations Trainer's primary job function is to support Utilization Management operations by training non-clinical staff on how to successfully perform any non-clinical tasks. This includes, but is not limited to, initial authorization processing (data entry, eligibility verification, benefits verification, and requesting required supporting documents from submitting provider offices), answering the phone (including all calls regarding authorization processing, claims related phone calls, and any other calls received via the call center lines), and appropriately processing required UM notifications (letters, faxes, etc.). The UM Operations Trainer is responsible for practicing all of the functions they perform training on as part of their standard job function.
Requirements
- H.S. Diploma,GED,or Equivalent
- 2 Years of Experience
- Knowledge of medical terminology, ICD-10 Codes, CPT Codes, HCPC Codes, health plan benefits, or claims required
- Computer skills required, specifically Excel, EZ-Cap, Word, Outlook, Internet/Web searching, and Epic
- Critical thinking skills
- Demonstrated commitment to valuing diversity and contributing to an inclusive working and learning environment
Nice To Haves
- Bachelor's Degree
- Experience in the provision of training
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What This Job Offers
Job Type
Full-time
Industry
Hospitals
Education Level
High school or GED
Number of Employees
1,001-5,000 employees
