Behavioral Health Utilization Management Administration Coordinator

Location: Remote work at home in Louisiana; Oklahoma is also a preferred location. Training and regular work hours are Monday through Friday, 8:00 AM–5:00 PM Central Time, with rotating holidays and weekends. Minimal travel to hirify.global offices for training or meetings may be required 1–2 times annually.

Salary: $40,000–$52,300 per year.

Company

hirify.global is a U.S. healthcare and insurance company providing services to Medicare and Medicaid members, families, individuals, military personnel, and communities.

What you will do

• Prepare and forward authorization requests for clinical review.
• Handle inbound and outbound provider calls regarding utilization management questions.
• Document calls and attach clinical information to members’ medical records.
• Create and send written correspondence.
• Prioritize and manage semi-routine administrative, clerical, operational, customer support, and computational tasks.
• Collaborate with providers and multiple internal roles and departments.

Requirements

• At least one year of administrative experience in a healthcare environment.
• Excellent verbal and written communication skills.
• Working knowledge of Microsoft Word, Excel, and Outlook in a Windows-based environment.
• Ability to quickly learn new systems and troubleshoot basic technical issues in a remote work environment.
• Ability to work Monday through Friday, 8:00 AM–5:00 PM Central Time, with rotating holidays and weekends.
• Ability to work from a dedicated space and protect member PHI and HIPAA information; home internet must provide at least 25 Mbps download and 10 Mbps upload speeds.

Nice to have

• Proficiency with electronic medical record and documentation programs.
• Member service or customer service telephone experience.
• Experience with utilization review or prior authorization, preferably in a managed care organization.
• Healthcare clerical support experience.
• Familiarity with medical terminology or ICD-10 codes.

Culture & Benefits

• Remote work-at-home arrangement with occasional office travel for training or meetings.
• 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 additional wellness benefits.