UM Coordinator; Inpatient

Position: UM Coordinator (Inpatient)
Location: California

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 inpatient utilization management (UM) coordinator to join the remote UM team. As an inpatient UM coordinator, you will assist with managing census and admissions, retrieve medical records, and discharge planning while working 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!

Schedule:

Monday - Friday, 8am - 5pm Pacific Time (Required)
** 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 ICD
10 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…