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Penn State Health · 18 hours ago

UM Coordinator - Utilization Management

Hershey, PA

Part-time

Onsite

New Grad, Entry Level

Penn State Health is a leading healthcare provider, and they are seeking a Utilization Management Coordinator to support the UM process. This role involves obtaining authorizations, reviewing clinical documentation, and ensuring compliance with insurance requirements.

Health CareMedical

Responsibilities

Supports the UM process by obtaining authorizations, reviewing clinical documentation in the EMR, and ensuring compliance with insurance payer requirements for reimbursement

Requires a thorough understanding of health plan insurance criteria

Must have clinical knowledge to assess diagnoses, current conditions, and previous treatments relevant to service approvals

Qualification

Healthcare experienceInsurance processes knowledgeElectronic medical recordsMedical terminology knowledgeClinical knowledgeCommunication skillsCertified Medical AssistantLicensed Practical Nurse

Required

High School Diploma or equivalent required

Experience in a healthcare setting, with familiarity in insurance processes, prior authorizations, and electronic medical records

Working knowledge of medical terminology, diagnoses, and treatments relevant to patient care

Proven ability to communicate effectively with insurance companies and other external stakeholders

Preferred

Certified Medical Assistant (MA) or Licensed Practical Nurse (LPN)

Benefits

Medical, dental and vision with no waiting period

Employee Wellness Programs

Fitness Discounts (University Fitness Center, Peloton)

Generous Paid Time Off

Personal Time

Paid Parental Leave

Retirement

Extended Illness Bank

Life Insurance

Identity Theft Protection

Competitive Pay

Tuition Reimbursement

PAWS UP employee recognition program

Employee Exclusive Concierge Service for scheduling

Company

Penn State Health

Penn State Health is a Health Care company. It is a sub-organization of Penn State Health.

Founded in 1967

Hershey, Pennsylvania, USA

10001+ employees

https://www.pennstatehealth.org

Funding

Current Stage

Late Stage

Total Funding

unknown

2016-06-22Seed

Leadership Team

Stephen Massini

Chief Executive Officer

Edward Chabalowski

VP/CFO, Berks and Lancaster Region

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Company data provided by crunchbase