UM Payer Coordination Specialist

Allina Health; Minneapolis (MN); On-site; USD 25,000 - 35,000; Full time

Benefits offered by this job

Medical/Dental

PTO/Time Away

Retirement Savings Plans

Life Insurance

Short-term/Long-term Disability

Tuition Reimbursement or CME

Job summary

Allina Health is seeking an Admissions Administrative Support role within the Utilization Management area in Minneapolis. The position focuses on data entry, phone communications with referral sources and families, and guiding patients and their families through the admission process.

The job requires 0–2 years in a business office with 2+ years in healthcare revenue cycle, insurance operations, and Epic experience. 1.0 FTE with an 8-hour day shift; no weekend duties.

Qualifications

• High school diploma or GED required; associate's or vocational degree preferred.
• 0–2 years of business office experience.
• 2+ years in healthcare revenue cycle and billing.
• 2+ years of experience working with Epic.
• 2+ years of experience working in insurance operations.

Responsibilities

• Provides administrative support for utilization management processes.
• Triages and manages payer correspondence via phone, fax, or mail.
• Divides incoming work by priority level to handle time-sensitive items.
• Refers cases to the utilization management specialist.
• Ensures payer-specific requirements are met and provides timely feedback to payers.
• Assists UM Specialists in obtaining authorizations and certifications.
• Conducts concurrent review follow-ups and data retrieval to support the review process.
• Facilitates concurrent claim denial processes.

Skills

Data entry

Phone communication

Attention to detail

Organizational skills

Education

High school diploma or GED

Associate's degree in business, healthcare, or related field

Tools

Epic

Microsoft Office

Job description

Allina Health is seeking an Admissions Administrative Support role within the Utilization Management area in Minneapolis. The position focuses on data entry, phone communications with referral sources and families, and guiding patients and their families through the admission process.

The job requires 0–2 years in a business office with 2+ years in healthcare revenue cycle, insurance operations, and Epic experience. 1.0 FTE with an 8-hour day shift; no weekend duties.