UM Administration Coordinator (Healthcare)

Location: Remote Illinois, United States; occasional travel to hirify.global offices for training or meetings may be required. Work schedule: 8:00 AM–5:00 PM Eastern Time, with weekend coverage based on business needs.

Salary: $40,000–$52,300 per year.

Company

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

What you will do

• Manage and organize documentation for prior authorization requests, including clinical requests and receipt of clinical records.
• Maintain accurate records and enter data into the clinical documentation system in a timely manner.
• Research participating provider status and support compliance with utilization management policies.
• Verify member eligibility and benefits for prior authorization requests.

Requirements

• At least one year of administrative experience in a healthcare environment.
• Proficiency with Microsoft Word, Excel, and Outlook in a Windows-based environment.
• Ability to learn and use new systems, tools, and technologies.
• Ability to work remotely from Illinois and maintain an 8:00 AM–5:00 PM Eastern Time schedule, including possible weekend coverage.
• Dedicated work area with internet service providing at least 25 Mbps download and 10 Mbps upload speeds.

Nice to have

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

Culture & Benefits

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