Utilization Management Coordinator

Location: Remote Ohio, United States; 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 insurance and healthcare services to Medicare, Medicaid, individual, family, military, and community members.

What you will do

• Provide non-clinical administrative support to utilization management nurses and physical health medical directors.
• Process authorization requests for health services.
• Interpret department policies and apply established methods and quality standards.
• Prioritize assignments and manage work with minimal direction.
• Support appropriate treatment, care, and services for members.

Requirements

• At least 1 year of administrative or technical support experience.
• Working knowledge of Microsoft Word, Excel, and Outlook in a Windows-based environment.
• Ability to quickly learn new systems.
• Ability to work from a dedicated, interruption-free space and protect member PHI and HIPAA information.
• Home internet with at least 25 Mbps download and 10 Mbps upload speed.

Nice to have

• Experience with electronic medical records and documentation programs.
• Knowledge of medical terminology or ICD-10 codes.
• Bachelor's degree in business, finance, or a related field.
• Member service or customer service telephone experience.
• Experience with utilization review or prior authorization in managed care.

Culture & Benefits

• Full-time schedule of 40 hours per week.
• Medical, dental, and vision benefits.
• 401(k) retirement savings plan.
• Paid time off, company and personal holidays, and paid parental and caregiver leave.
• Short- and long-term disability coverage, life insurance, and other wellness benefits.