Careers
07-34893

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.

QUALIFICATIONS
  • 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.

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

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

REPORTING RELATIONSHIP
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.

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