UM Coordinator, Inpatient – Part-Time Weekends, Weekday Training Required

🕒 July 21

🇺🇸 United States – Remote

💵 $41.5k - $62.2k / year

⏱ Part Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 44%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Alignment Health

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 2013

⚕️ Healthcare Insurance

🛡️ Insurance

🏥 Healthcare

💰 $135M Series C on 2020-03

Healthcare Insurance • Insurance • Healthcare

Alignment Health is dedicated to providing comprehensive care for Medicare members, emphasizing the needs of seniors, the chronically ill, and those who are frail. With a mission to transform senior healthcare, Alignment Health leverages a tailored care model and advanced technology to deliver high-quality, low-cost healthcare services. Their 24/7 concierge care team collaborates with trusted local providers to ensure that every member receives personalized care, reflecting the company's commitment to treating all members as valued family members.

📋 Description

• Assist the team with daily census by entering face sheets for hospitals and skilled nursing facilities • Obtain medical records from hospitals and skilled nursing facilities • Attach medical records to authorizations • Enter referral requests and authorizations using ICD-10 and CPT coding • Monitor fax folders • Complete and document tasks assigned by nurses • Maintain documentation on facilities contacted • Assist with maintaining and updating member records • Assist with mailing or faxing correspondence to facilities • Request medical records from facilities related to member activities • Attend case management presentations and participate as appropriate • Recognize work-related problems and contribute to solutions • Meet deadlines and prioritize tasks according to department policies, standards, and needs • Maintain confidentiality of information among healthcare professionals • Work closely with the Case Management Supervisor, Manager, and Director of Healthcare Services • Be a positive team player

🎯 Requirements

• Inpatient concurrent review experience • Experience with census and admission management • Experience in discharge planning • Experience entering referrals and prior authorizations • Experience with Medicare Advantage • Experience with hospital and/or facilities backend admissions • Knowledge of medical terminology • Knowledge of ICD10 and CPT codes • Knowledge of Medicare, HMO, MMO, and managed care plans • Computer proficient • High school diploma or GED, or 4 years' additional experience in lieu of education • Proficient in Microsoft Office (Outlook, Excel, Word) • Able to type a minimum of 50 words per minute • Organized and detail oriented • Able to file systematically • Good interpersonal skills • Strong written, verbal, and telephonic communication skills • Able to read, write, and speak English fluently • Available every Saturday and Sunday during Pacific Time hours • Available for 4 weeks of mandatory weekday training, Monday through Friday, 4 hours per day within 8:00 AM–5:00 PM Pacific Time • Medical assistant experience preferred • Knowledge of Access Express/Portal and Epic preferred • Medical Terminology Certificate preferred

🏖️ Benefits

• Opportunity for growth and innovation • Equal Opportunity/Affirmative Action employment