UM Coordinator, Inpatient (Remote | Part-Time Weekends | PT | Weekday Training Required)

Alignment Health; United States; Remote; USD 41,000 - 62,000; Part time

Job summary

Alignment Health is seeking a remote UM Coordinator (inpatient) to join the UM team. This part-time weekend role requires availability every Saturday and Sunday and 4 weeks of mandatory weekday training.

You will assist with census, medical records retrieval, and discharge planning while collaborating with CM leadership. Ideal candidates have inpatient concurrent review experience, knowledge of ICD-10/CPT coding, and familiarity with Medicare Advantage.

Qualifications

• Inpatient concurrent review knowledge and experience required.
• Census and admission management experience preferred.
• Discharge planning experience required.
• Experience entering referrals and prior authorizations.
• Familiarity with Medicare Advantage and managed care plans.
• Knowledge of ICD-10 and CPT coding.
• Strong medical terminology foundation.
• Proficiency in Microsoft Office suite.

Responsibilities

• Assist with daily census by entering face sheets for hospitals and SNFs.
• Obtain medical records from hospitals and SNFs.
• Attach medical records to authorizations.
• Enter referrals and authorizations in the system (ICD-10/CPT).
• Monitor incoming faxes and manage documents.
• Support nurse by completing tasks and prioritizing workloads.
• Maintain facility contact documentation and member records.
• Assist with mailing or faxing correspondence to facilities as needed.
• Attend case management presentations as appropriate.
• Maintain confidentiality and act as a positive team player.

Skills

Inpatient concurrent review

Census and admission management

Discharge planning

Referrals and prior authorizations

Medicare Advantage

Hospital/facilities admissions

Medical terminology

ICD-10 and CPT coding

Medicare/managed care plans

Microsoft Office

Education

High school diploma or GED

Medical Terminology Certificate (preferred)

Tools

Access Express / Portal

Epic

Job description

Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them. Together.

Alignment Health is seeking an organized, detail-oriented, and customer service-oriented remote UM Coordinator (inpatient) to join our UM team. This is a part-time weekend role that requires availability every Saturday and Sunday during Pacific Time hours. As an Inpatient UM Coordinator, you will assist with managing census and admissions, retrieving medical records, and supporting discharge planning while working closely with the Case Management (CM) Supervisor, Manager, and Director of Healthcare Services.

If you are hungry to learn and grow, want to be part of a growing organization, and make a positive impact in the lives of seniors, we’re looking for you!

Work Schedule (Required)

• Every Saturday and Sunday
• Option A: 7:00 AM - 4:00 PM Pacific Time
• Option B: 11:00 AM - 7:00 PM Pacific Time

Mandatory Training Availability (Required)

• This position requires 4 weeks of mandatory weekday training
• Training is Monday through Friday, 4 hours per day, scheduled within the hours of 8:00 AM–5:00 PM Pacific Time
• Specific training hours may vary based on trainer availability and business needs
• Attendance is required throughout the full 4-week training period

Candidates must be able to accommodate 4 hours of training each weekday within the 8:00 AM–5:00 PM Pacific Time training window before transitioning to the regular weekend schedule.

GENERAL DUTIES / RESPONSIBILITIES:

• Assist team with daily census by entering face sheets for hospitals and skilled nursing facilities (SNF).

• Obtain medical records from hospitals and SNF’s.

• Attach medical records to authorizations.

• Enter referral requests / authorizations in system using ICD 10 and CPT coding.

• Monitor fax folders.

• Complete and document tasks as assigned by nurse.

• Maintain documentation on facilities contacted.

• Assist with maintaining and updating member’s records.

• Assist with mailing or faxing correspondence to facilities, related to, as needed.

• Request medical records from facilities, etc., related to members activities, as needed.

• Attend case management presentations and participates, as appropriate.

• Recognize work-related problems and contributes to solutions.

• Meet specific deadlines and respond to various workloads by assigning task priorities according to department policies, standards and needs.

• Maintain confidentiality of information between and among health care professionals.

• Be a positive team player.

Job Requirements:

Experience:

Required:

• 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 ICD10 and CPT codes
• Knowledge of Medicare, HMO, MMO, managed care plans
• Computer proficient

Preferred:

• Medical assistant experience preferred
• Knowledge working in Access Express / Portal, Epic preferred.

Education:

Required:

• High school diploma or general education degree (GED) or (4) years’ additional experience in lieu of education.

Preferred:

• Medical Terminology Certificate preferred.

Training:

Required:

Preferred:

Specialized Skills:

Required:

• Proficient in Microsoft Office (Outlook, Excel, Word)
• Able to type minimum 50 words-per-minute (WPM).
• Organized and detail oriented.
• File systematically.
• Good interpersonal skills.
• Strong written, verbal, and telephonic communication skills
• Able to read, write, and speak English fluently.

Preferred:

Licensure:

Required: None

Work Environment:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Essential Physical Functions:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. While performing the duties of this job, the employee is regularly required to talk or hear.

2. The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms.

3. The employee frequently lifts and / or moves up to 10 pounds.

4. Specific vision abilities required by this job include close vision and the ability to adjust focus.

Pay Range: $41,472.00 - $62,208.00

Pay range may be based on a number of factors including market location, education, responsibilities, experience, etc.

Alignment Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity, or sexual orientation.