Utilization Management Coordinator

Admissions Office Coordinator Allina Health is a not-for-profit health system that cares for individuals, families and communities throughout Minnesota and western Wisconsin. If you value putting patients first, consider a career at Allina Health. Our mission is to provide exceptional care as we prevent illness, restore health and provide comfort to all who entrust us with their care. This includes you and your loved ones. We are committed to providing whole person care, investing in your well-being, and enriching your career. This position will work within the Admissions office. Primary duties include data entry, phone communication with referral sources and family members, and meeting with patients and their families to complete the admission process. 1.0 FTE (80 hours per two-week pay period) 8-hour day shift No weekends Responsible for completing operational functions within Utilization Management. Provides Utilization Management support services that are critical to support the accurate and timely utilization review of patients at Allina Health. Provides administrative support for utilization management processes. Triages and manages payer correspondence via phone, fax, or mail. Divides incoming work (faxes, phone-correspondence, mail) by priority level (prioritization) so that the highest priorities are handled first (time sensitive). Refers cases to the utilization management specialist. High-level of coordination is required to ensure specific payer requirements are met; must be able to quickly review information from multiple sources and direct questions and concerns to the appropriate staff person for resolution; must provide timely feedback to payers that requires research and coordination of information from various areas including UM specialists. Clarifies administrative requirements for patients with uncommon payers; receives timely feedback from multiple sources; maintains strong systems that ensure timely follow-up without losing focus on attention to details; keeps up with high volume of requests for information from multiple sources. Assists the UM Specialists in obtaining authorizations and certifications based on payer requirements. Concurrent review follow-up and data retrieval for payer requirements to support review process for UMS. Facilitates concurrent claim denial process. Other duties as assigned. Must be 18 years of age with education and/or experience needed to meet required functional competencies as listed on the job description 0 to 2 years of business office experience High school diploma or GED Associate's or Vocational degree in business, healthcare, or related field preferred 2+ years of experience working healthcare business office 2+ years of experience working in insurance operations 2+ years of experience working in Epic 2+ years of experience working in Microsoft Office 2+ years of experience working with revenue cycle and billing Sedentary: Lifting weight up to 10 lbs. occasionally, negligible weight frequently Pay Range: $18.49 to $25.19 per hourThe pay described reflects the base hiring pay range. Your starting rate would depend on a variety of factors including, but not limited to, your experience, education, and the union agreement (if applicable). Shift, weekend and/or other differentials may be available to increase your pay rate for certain shifts or work. Allina Health is committed to adhering with all applicable local, state and federal minimum wage requirements. Allina Health believes the best way to provide safe and compassionate care for our patients is by nurturing the passion of those who care for them. That's why we devote extraordinary resources to help you grow and thrive not only as a professional but also as a whole person. When you join our team, you have access to a wealth of valuable employee benefits that support the total well-being mind, body, spirit and community of you and your family members. Allina Health is all in on your well-being. Because well-being means something different to everyone, our award-winning program provides you with the resources you need to help you navigate your personal journey. This includes well-being dollars, dedicated well-being navigators, and many programs, activities, articles, videos, personal coaching and tools to support you on your journey. We are focused on creating an inclusive workplace so everyone can see themselves as part of our care team. Our care teams are as diverse as the communities we serve and proud to be contributing to the mission of a leading health care organization. Our pioneering approach to well-being helps every member of our care team feel a deep sense of connection and joy in their work. Medical/Dental PTO/Time Away Retirement Savings Plans Life Insurance Short-term/Long-term Disability Voluntary Benefits (vision, legal, critical illness) Tuition Reimbursement or Continuing Medical Education as applicable Student Loan Support Benefits to navigate the Federal Public Service Loan Forgiveness Program Allina Health is a 501(c)(3) eligible employer *Benefit eligibility/offerings are determined by FTE and if you are represented by a union.