UM Intake & Administrative Coordinator

Lucent Health Solutions LLC; Nashville (TN); On-site; USD 36,000 - 48,000; Full time

Benefits offered by this job

Unlimited PTO

10 Paid Holidays

Medical, Dental, Vision benefits

Job summary

Lucent Health is seeking an UM Admin Support Specialist to provide admin and operational support to the Utilization Management team. You will handle intake, processing, and tracking of prior authorization, referrals, and case reviews, coordinating with members, providers, and clinical reviewers to ensure timely, compliant UM operations.

Ideal candidates have healthcare admin experience, familiar with HIPAA, and strong organization in fast-paced settings.

Qualifications

• 2+ years of experience in a healthcare administrative role.
• Working knowledge of prior authorization and referral processes.
• Proficiency with UM/case management software and Microsoft Office.
• Strong organizational skills with multitasking ability.
• Excellent written and verbal communication and PHI confidentiality.

Responsibilities

• Receive, log, and triage prior authorization, referral, and concurrent review requests.
• Data entry and case setup in the UM platform with eligibility checks.
• Route cases to nurse reviewers or medical directors based on urgency and workflow.
• Prepare and track correspondence including approval letters and denials.
• Coordinate peer-to-peer reviews, appeals, and internal case conferences.

Skills

Healthcare Admin

Prior Authorization

Case Management

Medical Terminology

Microsoft Office

Education

High school diploma

Associate's degree in healthcare administration

Tools

UM software

Job description

Lucent Health is seeking an UM Admin Support Specialist to provide admin and operational support to the Utilization Management team. You will handle intake, processing, and tracking of prior authorization, referrals, and case reviews, coordinating with members, providers, and clinical reviewers to ensure timely, compliant UM operations.

Ideal candidates have healthcare admin experience, familiar with HIPAA, and strong organization in fast-paced settings.