UM Compliance Coordinator

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

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

UM Compliance Coordinator

Full Time Clerical Long Beach, CA, US

2 days ago Requisition ID: 1310

Salary Range: $22.00 To $25.00 Annually

POSITION SUMMARY

Reports to Compliance Manager. The Audit Analyst is responsible for UM reporting, audits, assisting with programing, assisting and informing the VP, Operations of any barriers that may preventing tasks from being completed in a timely and efficient manner. Individual must be able to execute effective communications verbally and in writing, maintain patient confidentiality, and promote departmental and organizational goals.

RESPONSIBILITIES-DUTIES

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 (Protected Health Information) 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

EDUCATION AND EXPERIENCE REQUIREMENTS

One years' experience in a physician office or clinic preferred or IPA/Group UM or CM department Coordinator preferred. But individuals with BA degree from recognized university will be considered and trained.

Medical terminology training, medical or other healthcare related experience preferred.

Must be able to communicate both orally and in writing.

Ability to apply common sense, to read and comprehend simple instructions to carry out detailed 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.

Must maintain strict confidentially of all patient information and IPA business.

AMM BENEFITS

When you join AMM, you’re not just getting a job—you’re getting a benefits package that puts YOU first:

• Health Coverage You Can Count On: Full employer-paid HMO and the option for a flexible PPO plan.
• Wellness Made Affordable: Discounted vision and dental premiums to help keep you healthy from head to toe.
• Smart Spending: FSAs to manage healthcare and dependent care costs, plus a 401(k) to secure your future.
• Work-Life Balance: Generous PTO, 40 hours of sick pay, and paid holidays to enjoy life outside of work.
• Career Development: Tuition reimbursement to support your education and growth.
• Team Fun: Paid company outings and lunches because we work hard, but we also know how to have fun!