Coordinator, UM Intake
Evolent
- Phoenix, Arizona, United States
- Phoenix, Arizona, United States
About
Reviewing internal workflows and policies to determine if submitted requests require a prior authorization review or redirect as required.
Entering data into a proprietary system generates cases for both the medical and behavioral health reviewers. These requests may be submitted via fax, email, or provider portal.
Working directly with physician’s offices to obtain missing information required to submit a prior authorization request.
Submitting IT tickets to address barriers to generating cases for clinical review and following the ticket through to completion.
Addressing requests promptly and courteously, honoring commitments, and displays persistence in obtaining necessary information to address issues and problems.
Meeting established Utilization Management Intake Objectives and Key Results.
Qualifications Required and Preferred:
A high school diploma or GED - Required
1 – 3 years of experience in a Coordinator role either requesting or submitting prior authorization requests. Or relevant health care experience in claims or appeal & grievance. Required
Previous background/experience with Oncology.
Ability to read, write, and speak the English language fluently with patients and providers. - Required
Ability to adapt to fluctuating situations and perform work of a detailed nature, while avoiding errors. - Required
Proficient in using computer and Windows PC applications, which includes strong keyboard and navigation skills. - Required
Team-oriented demonstrates a strong work ethic and is committed to productivity. - Required
Demonstrated ability to meet established goals while balancing a workload and prioritizing assignments in a remote environment. - Required
To ensure a secure hiring process we have implemented several identity verification steps, including submission of a government issued photo ID. We conduct identity verification during interviews, and final interviews may require onsite attendance. All candidates must complete a comprehensive background check, in-person I-9 verification, and may be subject to drug screening prior to employment. The use of artificial intelligence tools during interviews is prohibited and monitored. Misrepresentation will result in immediate disqualification from consideration. Technical Requirements: We require that all employees have the following technical capability at their home: High speed internet over 10 Mbps and, specifically for all call center employees, the ability to plug in directly to the home internet router. Evolent is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status. If you need reasonable accommodation to access the information provided on this website, please contact recruitingteam@evolent.com for further assistance. The expected base salary/wage range for this position is $18.00 - 20.00. As part of our total compensation package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on the skills and experience required for the position and commensurate with experience of selected individuals, which may vary above and below the stated amounts. Don't see the dream job you are looking for? Drop off your contact information and resume and we will reach out to you if we find the perfect fit!
Languages
- English
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