UM Data Entry Coordinator

Description

JOB SUMMARY:

The UM Data Entry Coordinator supports the Utilization Management (UM) function by accurately entering, verifying, and processing authorization requests in accordance with established policies, regulatory requirements, and service level expectations. This role performs non-clinical administrative tasks essential to the prior authorization process and ensures data integrity, timeliness, and compliance with HIPAA and applicable California healthcare regulations.

Requirements

MINIMUM & PREFERRED QUALIFICATIONS:

Education/Training

Minimum:  High school diploma or equivalent required.

Preferred: Coursework or training in medical terminology or healthcare administration.

Experience 

Minimum: Administrative or data entry experience.

Preferred: Experience working in a fast-paced, deadline-driven environment.

Any combination of educational and work experience that would be equivalent to the stated minimum requirements would qualify for consideration of this position.

Certification(s)

None required

Skills, Knowledge & Abilities

· Strong data entry accuracy and attention to detail 

· Ability to manage high-volume workload while meeting productivity benchmarks 

· Working knowledge of medical terminology (preferred) 

· Basic understanding of healthcare insurance and authorization processes 

· Effective written and verbal communication skills 

· Customer service orientation with ability to interact professionally with providers and staff 

· Strong organizational skills and ability to prioritize tasks 

· Ability to maintain confidentiality and exercise discretion 

· Proficiency in Microsoft Office (Word, Excel) and ability to learn new systems 

· Typing speed of 45+ WPM preferred 

· Ability to follow standardized procedures and apply sound judgment

PHYSICAL, MENTAL & ENVIRONMENTAL REQUIREMENTS:

The physical, mental, and environmental demands described here are representative of those required to successfully perform the essential functions of this job. Office/administrative setting with frequent computer use. Sitting for extended periods (70% or more), occasional standing, walking, bending, and reaching. Lift up to 20 pounds occasionally. Frequent typing, data entry, and us of office equipment. Ability to maintain focus in a high-volume environment. Apply attention to detail and accuracy. Manage multiple priorities and deadlines. Frequent verbal and written communication with internal staff and external providers.

PAY RANGE 

$18.00 - $21.00 / hourly