California Licensed UM Coordinator

A company is looking for a UM Coordinator.

Key Responsibilities

Comply with UM policies and procedures, including annual reviews

Process routine and urgent treatment authorization requests according to established guidelines

Accurately review and process daily assigned UM referrals while maintaining confidentiality

Required Qualifications

High School Graduate; Bachelor's in Healthcare Administration is a plus

Minimum of two years experience in a managed care environment preferred

Knowledge of medical terminology, RVS, CPT, HPCS, ICD-9 codes

Proficient with Microsoft applications; EZCAP experience preferred

Ability to follow directions and work independently according to department standards