UM Operations Coordinator

Catholic Health Initiatives; Omaha (NE); On-site; USD 28,000 - 39,000; Full time

Job summary

Catholic Health Initiatives in Omaha, NE is seeking an Utilization Management Assistant to provide essential administrative and clerical support for the UM team. You will help manage documentation, process requests, and facilitate communication to ensure efficient UM workflows.

The role requires strong organizational skills, attention to detail, and proactive support for daily UM operations, including payer documentation and cross-department coordination.

Qualifications

• Experience in hospital, physician’s office, or medical group handling admitting, business office, payer communications or managed care.
• Excellent organizational and communication skills with a proactive mindset.
• Ability to manage documentation and data entry.
• Comfort with multi-tasking in a fast-paced health care setting.

Responsibilities

• Receives, sends and documents payer requests for clinical documentation.
• Receives and documents payer authorization and communications including concurrent denials.
• Coordinate peer-to-peer conversations when applicable.
• Review surgery schedule to verify proper authorization is documented.
• Identify accounts lacking authorization and follow up with payers as needed.
• Communicate with interdepartmental staff regarding payer documentation requests.

Skills

Organizational skills

Attention to detail

Communication skills

Proactive approach

Education

High School Diploma or GED

Job description

Catholic Health Initiatives in Omaha, NE is seeking an Utilization Management Assistant to provide essential administrative and clerical support for the UM team. You will help manage documentation, process requests, and facilitate communication to ensure efficient UM workflows.

The role requires strong organizational skills, attention to detail, and proactive support for daily UM operations, including payer documentation and cross-department coordination.