UM Administration Coordinator (Healthcare)

Location: Remote Michigan; candidates must reside in Michigan. Monday through Friday, 8:00 a.m. to 4:30 p.m. Eastern Time. Occasional travel to hirify.global offices for training or meetings may be required.

Salary: $40,000–$52,300 per year

Company

hirify.global is a U.S. healthcare and insurance company providing Medicare, Medicaid, and related healthcare services.

What you will do

• Provide non-clinical LTSS utilization management support by managing shared mailboxes and entering data into work queues and clinical documentation systems.
• Prepare and mail letters and educational materials, and prepare documents for LTSS reviewers and Medical Directors.
• Submit state-required deliverables accurately and on time.
• Track, report, and monitor data, email, work queues, and administrative activities.
• Communicate with care coordinators, members, families, providers, and internal and external stakeholders.
• Ensure timely communication and follow-up with care management.

Requirements

• Must reside in Michigan.
• At least one year of administrative experience in a healthcare environment.
• Strong verbal and written communication skills.
• Working knowledge of Microsoft Word, Excel, and Outlook in a Windows-based environment.
• Ability to learn new software and systems.
• Ability to work 40 hours per week on the stated Eastern Time schedule and participate fully in 4–6 weeks of onboarding and training.

Nice to have

• Experience with LTSS programs, utilization review, or prior authorization.
• Experience in a managed care organization.
• Experience with electronic medical records and documentation systems.
• Knowledge of medical terminology or ICD-10 codes.
• Member service or customer service telephone experience.

Culture & Benefits

• Remote work from a dedicated space that protects member PHI and HIPAA information.
• Home internet with at least 25 Mbps download and 10 Mbps upload speeds.
• Medical, dental, and vision benefits.
• 401(k) retirement savings plan, paid time off, holidays, and paid parental and caregiver leave.
• Short- and long-term disability coverage and life insurance.