Job ID: 52267
Location: Woburn, MA
Experience: Not Specified
Education: See Requirements
ABOUT THE POSITION
We are currently seeking a dynamic UM Coordinator to join our team at our office in Woburn, MA. The UM Coordinator The UM Coordinator, provides administrative support to the Prior Authorization Team. This position collaborates with clinical leadership to maintain operational efficiency within the team. Scheduling of work hours is in accordance with business needs and may include evening and weekend responsibilities when needed.
The hours for this position will be Tue-Thurs 11:00am-7:30pm; Fri & Sat 8:30am-4:00pm.
This position is a remote role.
Responsible for completing triage assessments to route utilization management requests and other phone calls to clinicians when overflow system in place.
Telephonic queue management
Update authorization information in Beacon’s clinical system
Identify resources for Beacon members or providers including coordination of access to 24 hour levels of care with providers when indicated
Data entry of Post Service Review Charts
Organize and maintain data tracking system for individuals awaiting access to care, including coordination of clinician assignments for follow up, and ability to escalate to a supervisor when indicated.
Work with supervisor on data collection
Manage incoming faxes
Serve as a backup support for all other administrative duties within the clinical department.
Other duties as assigned
Relevant Work Experience:
Knowledge, Skills & Abilities:
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Beacon Health Strategies, LLC., a Beacon Health Options company, is proud to be an Equal Opportunity Employer as well as a Drug Free Work Environment. EOE/M/F/Veterans/Disabled