Remote Utilization Management Specialist

HonorHealth; Arizona; Remote; USD 52,000 - 70,000; Full time

Benefits offered by this job

Remote work

Job summary

HonorHealth is seeking an Utilization Management Coordinator to support UM operations and payer communications. The role emphasizes clinical documentation coordination, payer approvals, and collaboration with Care Coordination to optimize workflows.

This is a remote, full-time position within Arizona. Responsibilities include processing clinical data, coordinating denials and approvals, and ensuring accurate EMR/EPIC entries while maintaining HIPAA compliance and timely communications with

Qualifications

• 1 year clerical support experience required.
• 1 year administrative support in a healthcare field preferred.

Responsibilities

• Assist in administration of Utilization Management functions.
• Organize workflow and internal/external communications.
• Interpret and track critical information and follow up.
• Collaborate with UM nurses and payer for required documentation.
• Ensure HIPAA compliance and breach reporting when needed.
• Support Care Coordination communications and data entry in EMR/EPIC.
• Handle inbound faxes and payer denials, coordinating approvals with payers.

Skills

Clerical experience

Healthcare admin experience

Education

High School Diploma or GED

Associates preferred

Job description

HonorHealth is seeking an Utilization Management Coordinator to support UM operations and payer communications. The role emphasizes clinical documentation coordination, payer approvals, and collaboration with Care Coordination to optimize workflows.

This is a remote, full-time position within Arizona. Responsibilities include processing clinical data, coordinating denials and approvals, and ensuring accurate EMR/EPIC entries while maintaining HIPAA compliance and timely communications with