Description
JOB SUMMARY:
The UM Data Entry Coordinator supports the Utilization Management (UM) function by accurately entering, verifying, and processing authorization requests in accordance with established policies, regulatory requirements, and service level expectations. This role performs non-clinical administrative tasks essential to the prior authorization process and ensures data integrity, timeliness, and compliance with HIPAA and applicable California healthcare regulations.
Requirements
MINIMUM & PREFERRED QUALIFICATIONS:
Education/Training
Minimum: ย High school diploma or equivalent required.
Preferred: Coursework or training in medical terminology or healthcare administration.
Experienceย
Minimum: Administrative or data entry experience.
Preferred: Experience working in a fast-paced, deadline-driven environment.
Any combination of educational and work experience that would be equivalent to the stated minimum requirements would qualify for consideration of this position.
Certification(s)
None required
Skills, Knowledge & Abilities
Strong data entry accuracy and attention to detailย
Ability to manage high-volume workload while meeting productivity benchmarksย
Working knowledge of medical terminology (preferred)ย
Basic understanding of healthcare insurance and authorization processesย
Effective written and verbal communication skillsย
Customer service orientation with ability to interact professionally with providers and staffย
Strong organizational skills and ability to prioritize tasksย
Ability to maintain confidentiality and exercise discretionย
Proficiency in Microsoft Office (Word, Excel) and ability to learn new systemsย
Typing speed of 45+ WPM preferredย
Ability to follow standardized procedures and apply sound judgment
PHYSICAL, MENTAL & ENVIRONMENTAL REQUIREMENTS:
The physical, mental, and environmental demands described here are representative of those required to successfully perform the essential functions of this job. Office/administrative setting with frequent computer use. Sitting for extended periods (70% or more), occasional standing, walking, bending, and reaching. Lift up to 20 pounds occasionally. Frequent typing, data entry, and us of office equipment. Ability to maintain focus in a high-volume environment. Apply attention to detail and accuracy. Manage multiple priorities and deadlines. Frequent verbal and written communication with internal staff and external providers.
PAY RANGEย
$18.00 - $21.00 / hourly