Administrative Support Staff - Utilization Management - Egg Harbor Township

Location: Egg Harbor Twp, NJ  |  Position Status: Full Time  |  Position Shift: Days
The Utilization Management support staff role provides administrative support to the Utilization Management staff. This position is primarily responsible for assisting the Utilization Review coordinators in obtaining authorization from the payers for the patients' hospital stays at the appropriate level of care and for preventing a potentially denied hospital stay. Some specific tasks of this role include faxing clinical information to the payers in order to obtain an authorization, daily monitoring of various payer logs and submitting the requested information as directed by Utilization Review coordinators, providing prompt feedback to both the Utilization Review coordinators and the physician advisor if an authorization is not obtained, and documenting the various payer communications in the Care Management tool.

This position requires daily collaboration/interaction with all Utilization Management staff, regular communication with the physician advisor and ongoing collaboration with some of the Revenue Cycle team. This position requires a strong knowledge of medical terminology and the various payers' authorization processes. This position supports organizational goals by providing quality customer service, participating in performance improvement efforts and demonstrating a commitment to teamwork and cooperation.

  • EDUCATION: High school diploma required. Associate's degree preferred.
  • EXPERIENCE: Minimum 3 years of administrative experience required. Medical terminology knowledge and payer authorization processes required. Strong effective communication skills, excellent organizational and time management skills, and flexibility in responding to multiple demands are required. 3 years of patient care technician, medical assistant or administrative associate experience preferred.

Consistently demonstrates the technical and behavioral competencies as established on the Assessment and Evaluation Tool.

Office environment with limited exposure to infectious disease, hazardous substances and potential injury. This position requires desk/computer work a majority of the time.

This position reports to department leadership.
AtlantiCare is an equal opportunity employer that takes affirmative action to employ and advance in employment individuals without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status or disability.
Amanda Pastore
Talent Acquisition Partner
Applicants only. We are not accepting inquiries or solicitations from recruiters/search firms.

Live the beach-life balance you’ve always wanted

Whether you lead an active life or love leisure, you’ll enjoy working and living in the beach communities of New Jersey’s southeastern shore.

Benefits photo

Benefits & Wellness

We believe that healthcare should be a rewarding career. That’s why we offer excellent compensation, exceptional health and wellness benefits, and internal resources and programs to support professional growth for our team members. Here, you’ll find everything you need to pursue your calling of caring for others, knowing that you’re working for an organization dedicated to your overall well-being.

Inclusion & Diversity

Diversity and inclusion are at the heart of what makes AtlantiCare a great organization. We recognize and celebrate individual differences as dimensions that enrich our workforce and allow us to be more creative, flexible and competitive. Our inclusive culture welcomes our employees to freely contribute their diverse ideas, background, talents and experiences to make this a place where everyone can be, and do, their best work together.

Inclusion photo

Great Location

For many, the shore communities of southeastern New Jersey are vacation destinations, but for AtlantiCare employees, they’re home. Working at AtlantiCare allows you to experience shore life year-round. Here, you’ll find natural beauty, world-class entertainment, rich history, amazing arts, abundant outdoor recreation, shopping, sophisticated dining and plenty of family-friendly events all within communities you’ll love to call home.

Working Here

The spirit of collaboration is alive and well at AtlantiCare. We empower our teams to be agents of change within our system. We encourage growth and support advancement. Our shared vision for advancing the health of the communities and people we serve guides us to do what’s right for each patient, our healthcare delivery system and the practice of medicine as a whole. We teach, grow and advance medicine together.

Protected health information (PHI) and HIPAA compliance

HireControl does not collect any of the following data: