Coordinator, UM Intake – Fax Admin

Job not on LinkedIn

🔥 3 minutes ago

🇺🇸 United States – Remote

💵 $18 / hour

⏰ Full Time

🟢 Junior

🚫👨‍🎓 No degree required

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

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Evolent

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

⚕️ Healthcare Insurance

🏥 Healthcare

☁️ SaaS

Healthcare Insurance • Healthcare • SaaS

Evolent is a healthcare company focused on improving care outcomes through its comprehensive management solutions across multiple medical specialties. They aim to enhance the patient care journey by offering coordinated services in areas like oncology, cardiology, musculoskeletal disorders, and primary care, while ensuring high-quality treatment pathways and cost management. Evolent believes every person deserves quality care, striving to align treatment guidelines and innovative approaches to meet patient needs effectively.

📋 Description

• Support the Utilization Management Team's administrative operations • Prepare inbound faxes by reviewing content and editing labels for accurate document classification • Review Service Level Agreement Grids and determine, calculate, and document turnaround timeframes • Monitor failed fax transmissions and coordinate resending correspondence through appropriate channels • Manage the shared email inbox by reviewing clinician inquiries, retrieving clinical documents, and attaching them for case review • Perform additional administrative tasks as assigned • Meet established UM Intake Objectives and Key Results • Collaborate with the Manager, UM Intake, prior authorization teams, clinical review teams, and other UM staff

🎯 Requirements

• High school diploma or GED • 1–3 years of experience in a population management, managed care/insurance, or hospital medical management department setting • Basic knowledge of medical records and ability to locate and verify member details • Familiarity with Commercial, Medicare, and Medicaid health insurance lines of business • Working knowledge of CPT/HCPCS medical coding systems • Ability to adapt to fluctuating situations and perform detailed work accurately • Proficiency with Windows PC applications including Outlook, Word, Excel, and OneNote • Strong keyboard and navigation skills • Team-oriented, strong work ethic, and commitment to productivity • High-speed internet over 10 Mbps at home • For call center employees, ability to plug directly into the home internet router • Comprehensive background check, in-person I-9 verification, and possible drug screening prior to employment • Government-issued photo ID submission and identity verification during interviews • Final interviews may require onsite attendance

🏖️ Benefits

• Work/life balance • Flexible work arrangements • Autonomy • Diversity and inclusion • Health insurance benefits for qualifying employees