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.
Minimum: High school diploma or equivalent required.
Preferred: Coursework or training in medical terminology or healthcare administration.
Minimum: Administrative or data entry experience.
Preferred: Experience working in a fast-paced, deadline-driven environment.
None required
Strong data entry accuracy and attention to detail
Ability to manage high-volume workload while meeting productivity benchmarks
Working knowledge of medical terminology (preferred)
Basic understanding of healthcare insurance and authorization processes
Effective written and verbal communication skills
Customer service orientation with ability to interact professionally with providers and staff
Strong organizational skills and ability to prioritize tasks
Ability to maintain confidentiality and exercise discretion
Proficiency in Microsoft Office (Word, Excel) and ability to learn new systems
Typing speed of 45+ WPM preferred
Ability to follow standardized procedures and apply sound judgment
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.
$18.00 - $21.00 / hourly
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