Position Details
About this role
The Utilization Management Assistant (UMA) provides administrative support to the Utilization Management department in a behavioral health hospital. The role handles admission notifications, authorization requests, payer database communications, discharge notifications, and UM determinations while maintaining organized electronic records.
Key Responsibilities
- Provide administrative support to the Utilization Management (UM) department
- Process Notification of Admission and distribute authorization requests
- Maintain electronic filing system and monitor fax/email/online payer databases
- Handle voicemail coverage and discharge notifications and determinations
- Follow established UM standards and meet performance standards including regulatory timeframes
Technical Overview
Administrative operations for the UM workflow using MS Office (Word, Excel, Outlook) in a Windows-based environment. Responsibilities include processing fax/email communications, using online payer databases, maintaining electronic filing systems, and ensuring adherence to UM policies and regulatory timeframes.
Ideal Candidate
The ideal candidate has at least 1 year of medical office or health insurance experience (or 2 years in a mental health setting with secretarial experience) and strong clerical administration skills. They are proficient in MS Office (Word, Excel, Outlook) in a Windows-based environment and can reliably handle authorization requests, payer database updates, and discharge notifications while meeting UM department standards.
Must-Have Skills
Nice-to-Have Skills
Tools & Platforms
Required Skills
Hard Skills
Soft Skills
Certifications
Required
Industry & Role
Keywords for Your Resume
Deal Breakers
High school diploma or GED required, Successful completion of CPI training including de-escalation and appropriate use of seclusion and restraint within the first 30 days of employment
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