UM Review Coordinator II

🔥 0 minutes ago

🌵 Arizona, Florida, +15 more states – Remote

🌵 Arizona – Remote 🐊 Florida – Remote 🌽 Illinois – Remote 🌾 Iowa – Remote 🌪️ Kansas – Remote 🐎 Kentucky – Remote 🌾 Nebraska – Remote 🌾 North Dakota – Remote 🌪️ Oklahoma – Remote 🚗 Michigan – Remote ❄️ Minnesota – Remote 🏰 Missouri – Remote 🗿 South Dakota – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote ⚔️ Virginia – Remote 🧀 Wisconsin – Remote

💵 $41.3k - $70.8k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

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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Medica

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1975

🏥 Healthcare

🛡️ Insurance

⚕️ Healthcare Insurance

Healthcare • Insurance • Healthcare Insurance

Medica is a nonprofit health plan and insurer with over 50 years of experience that provides individual & family plans, Medicare, Medicaid, and employer-provided health plans. It offers member services and tools for finding providers, managing benefits and claims, wellness programs, and community-focused initiatives through the Medica Foundation to advance health equity.

📋 Description

• Coordinate and support all intake functions within the Utilization Management Department • Triage, research, and enter acute inpatient hospital admissions and outpatient medical prior authorization requests • Triage, research, and enter member administrative referrals • Triage, research, and complete non-clinical service requests • Make outreach attempts to providers requesting clinical or additional information needed for reviews • Research and resolve provider and member questions and issues while maintaining a positive customer relationship • Perform other duties as assigned • Process information accurately and timely to support downstream activities

🎯 Requirements

• High School Diploma or Equivalent • 2+ years of healthcare industry experience within a professional customer service or related experience • Knowledge of prior authorization or hospital admission processes preferred, however not required • Advanced data entry skills • Strong verbal and written communication • Strong organizational and time management skills • Ability to manage multiple tasks and priorities • Analytical and critical thinking skills • Ability to work with limited supervision • Attention to detail and accuracy are critical • Excellent computer skills • Primary home address located within a state where Medica is registered as an employer: AR, AZ, FL, GA, IA, IL, KS, KY, MI, MN, MO, ND, NE, OK, SD, TN, TX, VA, WI • Legally authorized to work in the United States at the time of application • Must not require work visa sponsorship

🏖️ Benefits

• Competitive medical, dental, and vision coverage • PTO • Holidays • Paid volunteer time off • 401K contributions • Caregiver services • Many other benefits as part of a generous total rewards package