Utilization Management Coordinator

Job Description Job Description ESSENTIAL DUTIES
Letters of agreement
Timely review of all requests for letters of agreement assigned to work queue
Verifying letter of agreement criteria is met
Services not available in network
Continuation of Care

Verifying information provided is sufficient to submit for letter of agreement
Submitting letters of agreement to Contracting Contacts for entities financially responsible for services
Follow up and follow through for status and completion of letter of agreement.

MINIMUM REQUIREMENTS
Understanding of basic medical terminology
Organized, efficient and possess superior attention to detail
Punctual, prepared and able to meet or beat deadlines
Excellent written and verbal communication skills
Managed Care Healthcare Experience a plus
EDUCATION/TRAINING
High School diploma
College degree preferred
On Site training will be provided
LANGUAGE SKILLS
Ability to communicate and speak effectively before co-workers, management, and external contacts
Ability to fluently speak, write, and understand English
Ability to write routine emails and other correspondence
Ability to speak clearly and concisely over the telephone
CONFIDENTIAL AND SENSITIVE INFORMATION:
Must properly control the release of proprietary and confidential information
Note that the information above is intended to describe the general nature and level of work being performed by employees, and are not to be construed as an exhaustive list of responsibilities, duties, and skills required of personnel so classified. Furthermore, they do not establish a contract for employment and are subject to change at the discretion of the employer.
Company Description Thrifty Management Services is the dedicated MSO for Preferred IPA of California, providing the best possible care management, care coordination, and claims processing services to Preferred IPA and their members. We work with the network’s participating physicians to coordinate patient care when a referral is made to a specialist or hospital for diagnosis and treatment. We coordinate patient care across all aspects of the provider network. We provide high quality services to its participating physicians and superior health care to its members. Company Description Thrifty Management Services is the dedicated MSO for Preferred IPA of California, providing the best possible care management, care coordination, and claims processing services to Preferred IPA and their members. We work with the network’s participating physicians to coordinate patient care when a referral is made to a specialist or hospital for diagnosis and treatment. We coordinate patient care across all aspects of the provider network. We provide high quality services to its participating physicians and superior health care to its members.