Appeals Back End UM Admin Coordinator

Location: Remote nationwide in the United States; occasional travel to hirify.global offices for training or meetings may be required.

Salary: $39,000–$49,400 per year.

Company

hirify.global is a U.S. healthcare and insurance company providing insurance and healthcare services to millions of members.

What you will do

• Provide administrative support for utilization management programs and processes.
• Review, process, and maintain information and records accurately and on time.
• Coordinate communications with internal teams and external stakeholders.
• Support operational activities that facilitate appropriate care and service delivery.
• Follow established policies, procedures, and work instructions while prioritizing workload and meeting quality standards.
• Work under general supervision and collaborate with team members to support departmental objectives.

Requirements

• Professional experience in administrative, operational, customer service, or technical support.
• Strong verbal and written communication skills.
• Proficiency with Microsoft Word, Excel, and Outlook, with the ability to learn new systems.
• Ability to work independently in a remote environment with a reliable internet connection.
• Strong organization, attention to detail, and ability to manage multiple priorities.
• Work from a dedicated space without ongoing interruptions to protect member PHI and HIPAA information. Internet service must provide at least 25 Mbps download and 10 Mbps upload.

Nice to have

• Experience with electronic medical records, healthcare documentation, or case management systems.
• Familiarity with medical terminology, healthcare coding, or ICD-10 classifications.
• Associate's or bachelor's degree in business, healthcare administration, finance, or a related field.
• Experience in utilization management, prior authorization, care management, health plans, or 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, life insurance, and telephone equipment appropriate for business needs.

Hiring process

• Interviewing technology called HireVue will be used during the hiring process.