Remote Inpatient UM Coordinator - Weekend Shift

E2E Alignment Healthcare USA, LLC; California; Hybrid; USD 41,000 - 62,000; Part time

Job summary

Alignment Health is seeking an organized, detail-oriented remote UM Coordinator (inpatient) to join our UM team. This part-time weekend role requires availability every Saturday and Sunday during Pacific Time hours, assisting with census, records, and discharge planning.

You will work with CM Supervisor, Manager, and Director, undergo 4 weeks of weekday training, and handle referrals and authorizations while upholding confidentiality and high-quality service.

Qualifications

• 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 ICD-10 and CPT codes.
• Knowledge of Medicare, HMO, MMO, managed care plans.
• Computer proficient.

Responsibilities

• Enter census data for hospitals and SNFs; attach medical records.
• Obtain medical records from hospitals and SNFs.
• Attach records to authorizations.
• Enter referrals and authorizations in system with ICD-10/CPT coding.
• Monitor fax folders and respond to urgent requests.
• Complete tasks assigned by nurse and document them.
• Maintain facility contact documentation and member records.
• Assist with mailing or faxing correspondence to facilities.
• Attend case management presentations as appropriate.
• Maintain confidentiality and act as a positive team member.

Skills

Inpatient reviews

Census management

Discharge planning

Referrals & authorizations

Medicare Advantage

Hospital admissions

Medical terminology

ICD-10 & CPT codes

Managed care knowledge

Computer proficiency

Medical assistant experience

Access Express/Portal

Epic knowledge

Education

GED or equivalent

Medical Terminology Certificate

Tools

Access Express/Portal

Epic

Job description

Alignment Health is seeking an organized, detail-oriented remote UM Coordinator (inpatient) to join our UM team. This part-time weekend role requires availability every Saturday and Sunday during Pacific Time hours, assisting with census, records, and discharge planning.

You will work with CM Supervisor, Manager, and Director, undergo 4 weeks of weekday training, and handle referrals and authorizations while upholding confidentiality and high-quality service.