UM Compliance & Audit Coordinator: Impact & Growth

Automatic Data Processing, Inc.; Long Beach (CA); On-site; USD 22,000 - 25,000; Full time

Benefits offered by this job

Health coverage

Vision & dental premiums

FSAs

401(k)

PTO & sick pay

Lunches & outings

Job summary

Automatic Data Processing, Inc. is seeking a UM Compliance Coordinator in Long Beach, CA. This full-time clerical role supports the Compliance Manager and oversees UM reporting, audits, and the maintenance of confidentiality for patient information.

You will assist with process improvements and ensure accuracy of templates and communications with health plans. The ideal candidate has at least one year of experience in a physician office or CM/UM setting, strong written and verbal communication,

Qualifications

• One year experience in a physician office or clinic preferred or IPA/Group UM or CM department coordinator.
• Must be able to communicate both orally and in writing.
• Ability to read and comprehend simple instructions to carry out written and/or oral instructions.
• Must be able to efficiently prioritize multiple high priority tasks.
• Must have the ability to work independently and be organized with minimal supervision.

Responsibilities

• Schedules and prepares for CM/UM/QM audits.
• Manages audit calendar and excel schedule.
• Runs/Manages all reports as listed in the P&P.
• Assist Compliance Manager, Quality Manager, and Director of Care Management to eliminate CAPs and/or operationalize process improvement techniques for better outcomes.
• May assist with automating reports.
• Maintains confidentiality of all members and medical/clinical information.
• Performs as necessary to any departmental changes, workload and/or emergencies.
• Has understanding of Policies/Procedures.
• Letter programs to ensure templates are accurate per Health Plan including but not limited to new and update information from ICE Website.
• Ensures the privacy and security PHI as outlined in AMM policies and procedures relating to HIPPA compliance.
• Performs other duties as directed by Compliance Manager.
• Back up support for managing the Audit Manager application for UM issues.
• Back up support for creating denial letters with 8th grade language requirement.

Skills

Communication

Oral and written communication

Prioritization

Independent worker

Education

BA degree or higher

Medical terminology training

Job description

Automatic Data Processing, Inc. is seeking a UM Compliance Coordinator in Long Beach, CA. This full-time clerical role supports the Compliance Manager and oversees UM reporting, audits, and the maintenance of confidentiality for patient information.

You will assist with process improvements and ensure accuracy of templates and communications with health plans. The ideal candidate has at least one year of experience in a physician office or CM/UM setting, strong written and verbal communication,