UM Authorization Specialist — Weekdays, Full‑Time

Element Care; Lynn (MA); On-site; USD 34,000 - 47,000; Full time

Benefits offered by this job

Health insurance

Vision insurance

Paid time off

Job summary

Element Care in Lynn, Massachusetts is seeking a Department Specialist III to support the SCO UM Department by creating and reviewing service authorizations for enrolled members. This is a full-time role, Monday–Friday 8:00 AM–4:00 PM with no nights, weekends, or holidays.

Responsibilities include quality review of authorizations, outreach for documentation, regulatory adherence, and acting as a subject matter expert for UM policies. Strong communication and organizational skills are essential.

Qualifications

• High school diploma or equivalent.
• 3–5 years administrative experience.
• Proficient in Microsoft Office and quick to learn proprietary software.
• Able to interact with all levels of personnel.
• Strong written and verbal communication.
• Knowledge of HIPAA policies and guidelines.
• Proof of Covid vaccine.

Responsibilities

• Review member service authorizations for quality.
• Outreach to internal/external partners for documentation.
• Prioritize work by service decision timeframes.
• Apply regulatory guidelines to determine eligibility.
• Follow protocols to ensure regulatory compliance.
• Manage centralized electronic record work queue.
• Serve as SME on UM department policies and procedures.
• Provide back-up support to other areas.
• Provide training to non-exempt personnel.
• Perform other duties as required.

Skills

Communication skills

Organizational skills

Problem solving

Team collaboration

Attention to detail

Education

High school diploma or equivalent

Tools

Microsoft Office

Job description

Element Care in Lynn, Massachusetts is seeking a Department Specialist III to support the SCO UM Department by creating and reviewing service authorizations for enrolled members. This is a full-time role, Monday–Friday 8:00 AM–4:00 PM with no nights, weekends, or holidays.

Responsibilities include quality review of authorizations, outreach for documentation, regulatory adherence, and acting as a subject matter expert for UM policies. Strong communication and organizational skills are essential.