Utilization Management Admin Coordinator

Beth Israel Deaconess Medical Center, Inc.; Boston (MA); On-site; USD 28,929 - 38,572; Full time

Job summary

Beth Israel Lahey Health is seeking an UM Admin to provide essential administrative and clerical support within the Utilization Management department. You will assist with prior authorizations, concurrent reviews, discharge planning coordination and payer communications to ensure timely, accurate utilization review activities in compliance with regulations.

As a key liaison between UM nurses, physicians and payers, you will help maintain smooth daily workflows, organize documentation, and

Qualifications

• High School diploma or GED required.
• Associate's degree preferred.
• 1-3 years related work experience required.
• Experience with computer systems required, including web based applications and some Microsoft Office applications which may include Outlook, Word, Excel, PowerPoint or Access.

Responsibilities

• Answers and screens telephone calls.
• Takes accurate messages or directs call to appropriate person.
• Greets and directs patients/families, visitors and staff.
• Responds to requests in a timely manner and provides clear and accurate information within scope of knowledge and authority.
• Types and prepares correspondence and documents according to quality standards.
• Proofreads and edits materials for grammar, punctuation and spelling.
• Drafts routine correspondence.
• Compiles and distributes reports and other information as needed.
• Schedules appointments and meetings and maintains calendars and schedules for assigned staff.
• Assists in preparation for conferences, seminars and other department sponsored programs or events.
• Receives, records and prepares related materials and performs other related duties as assigned.
• Organizes and maintains department files, records and databases following established procedures.
• Enters information from source documents into databases and/or spreadsheets.
• Prepares, routes and tracks routine administrative forms and documents.
• Routes materials for required authorizations and monitors receipt by final destination.
• Communicates with other hospital departments to resolve delays, problems and errors.

Skills

Written communications

Oral communications

Teamwork

Customer service

Microsoft Office

Outlook

Excel

PowerPoint

Access

Education

High School diploma or GED required

Associate's degree preferred

Tools

Microsoft Office

Outlook

Excel

Word

PowerPoint

Access

Job description

Beth Israel Lahey Health is seeking an UM Admin to provide essential administrative and clerical support within the Utilization Management department. You will assist with prior authorizations, concurrent reviews, discharge planning coordination and payer communications to ensure timely, accurate utilization review activities in compliance with regulations.

As a key liaison between UM nurses, physicians and payers, you will help maintain smooth daily workflows, organize documentation, and