UM Administrative Coordinator (Medicaid)

Location: Remote, but must reside and perform work in Louisiana. Monday through Friday, 8:00 AM–5:00 PM Central Time; weekend rotations may be required. 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 serving Medicare and Medicaid members through insurance and healthcare services.

What you will do

• Support administration of utilization management for the Medicaid team.
• Provide non-clinical support for policies and procedures related to appropriate member treatment, care, and services.
• Complete varied administrative, operational, customer support, and computational assignments.
• Interpret departmental policies and determine work priorities, timing, and quality standards.
• Work with limited direction while following established procedures and exercising independent judgment.

Requirements

• At least 1 year of administrative or technical support experience in an office environment.
• Proficiency with electronic medical record and documentation programs.
• Excellent verbal and written communication skills.
• Working knowledge of Microsoft Word, Excel, and Outlook in a Windows environment, with the ability to learn new systems quickly.
• Must reside and work in Louisiana.
• Must be available for a 40-hour work week, Central Time business hours, and required weekend rotations.

Nice to have

• Experience with medical terminology or ICD-10 codes.
• Associate’s degree or higher.
• Member service or customer service telephone experience.
• Experience with utilization review or prior authorization, preferably in a managed care organization.

Culture & Benefits

• Six-week training process.
• Work-from-home setup with a dedicated workspace to protect member PHI and HIPAA information.
• Home internet connection with at least 25 Mbps download and 10 Mbps upload speeds.
• Medical, dental, and vision benefits, 401(k), paid time off, holidays, parental and caregiver leave, disability coverage, and life insurance.
• Overtime may be requested based on business needs.