New York Technology Partners · 1 week ago
UM Review Assistant
United States
Contract
Remote
Entry Level
$14/hr - $17/hr
1+ years expNew York Technology Partners is seeking a UM Review Assistant to streamline the clinical review process by preparing prior authorization cases. The role involves providing non-clinical support, ensuring adherence to organizational standards, and maintaining confidentiality of medical records.
ConsultingInformation TechnologySoftwareStaffing Agency
Hiring Manager
Tapan Tiwari
Responsibilities
Provide primary non-clinical program support by encompassing provider training, customer service, call triaging, authorization preparation, data entry, and the development and tracking of functions for members and providers
Offer non-clinical support to other programs as needed, ensuring flexibility and adaptability in meeting organizational requirements
Review patient records for completeness against submission requirements, identifying cases requiring additional non-clinical information
Process and document case discharges with precision and timeliness
Ensure accurate and prompt submission of all administrative-related documents to relevant parties
Act as a liaison with internal and external customers, fostering positive and professional relationships to facilitate an effective review process
Attend training and scheduled meetings, maintaining up-to-date information for case preparation
Uphold medical records confidentiality through proper use of computer passwords and secured files, adhering to HIPAA policies
Answer calls and demonstrate proper telephone etiquette and communication skills in alignment with client’s policies, procedures, and guidelines
Cross-train to perform duties of other contracts within the network, contributing to a flexible workforce to meet client/consumer needs
Fulfill other assigned duties to meet contract deliverables and organizational requirements
Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules
Qualification
Required
High school diploma or GED equivalent
Associate degree preferred and/or equivalent work experience related to medical, behavioral, or social/support settings
1-2 years of experience in administrative or records management
2-3 years in an administrative support or customer service position and be familiar with healthcare
Preferred
Comprehensive knowledge of office environments and business processes
Understanding of a customer service approach tailored for medical provider stakeholders
Familiarity with government structures and related programs is advantageous
Excellent communication skills
Ability to multitask, prioritize, and provide service to a diverse range of customers
Experience in development and project activities
Experience in staff and provider training, with preferred public speaking skills
A proactive approach to continually assess office functions and report potential issues to the Director
Capability to track provider issues and report them appropriately
Willingness to learn the Atrezzo application and assist customers in resolving technical issues related to the submission of Health Homes authorization requests
Proficiency in Microsoft Office applications and Excel, ensuring efficient utilization of essential software tools
Company
New York Technology Partners
New York Technology Partners is an information technology company that provides IT and engineering services.
201-500 employees
H1B Sponsorship
New York Technology Partners has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (52)
2024 (74)
2023 (59)
2022 (104)
2021 (74)
2020 (115)
Funding
Current Stage
Growth StageLeadership Team
Amy Reynolds
Senior Talent Acquisition Partner
Hetal Shah
Technical Recruiter at New York Technology Partners
Company data provided by crunchbase