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Form of workJob Description
LHH Recruitment Solutions is currently seeking a full-time UM Coordinator for a client in Sacramento, CA on a contract to hire basis. The client requires the representative to play a crucial role in coordinating and supporting activities related to authorization processing for outpatient, inpatient, and ambulatory services.
Key Responsibilities:
Answer phones promptly and professionally, directing calls to the appropriate staff.
Respond to routine requests and maintain an accurate phone call log.
Complete customer service tickets daily.
Process inpatient notifications within established guidelines and turnaround time.
Update and submit logs and reports to health plans, including face sheets, denials, and daily inpatient census reports.
Generate denial eligibility letters.
Work effectively with providers, nurses, case managers, and Medical Directors to ensure timely and accurate processing of manual referrals.
Receive and enter appropriate information from referrals.
Create, approve, and modify referrals in accordance with established guidelines.
Update and maintain inpatient census information on a daily basis.
Verify member eligibility and request clinical records as needed.
Adhere to company policies, procedures, and guidelines.
Recognize and enforce company security measures, maintain strict confidentiality, and comply with HIPAA standards.
Qualifications:
2+ years of Utilization Management coordination experience.
3+ years of experience in the medical field.
Ability to type a minimum of 45 WPM.
Proficiency with computer and standard business software (MS Office applications).
Strong organizational, multitasking, and problem-solving abilities.
Commitment to maintaining confidentiality and adhering to company policies.
Compensation: $18-$20/hr
Job Type: Contract to Hire
Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable.
Pay Details: $18.00 to $20.00 per hour
Search managed by: Diana Bielawska
Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable.
Equal Opportunity Employer/Veterans/Disabled
To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to https://www.lhh.com/us/en/candidate-privacy
The Company will consider qualified applicants with arrest and conviction records subject to federal contractor requirements and/or security clearance requirements.
