POSITION Coordinator - UM Letter Review (Bilingual)

Position Type: Temporary

Schedule : M-F, : am - : pm

Assignment Length: Approximately -Months, possibly Longer.

DESCRIPTION Under the general direction of the UM Operations Manager, UM Regulatory & Compliance - CCA, the Coordinator - UM Letter Review - CCA is a high paced position that requires timely processing of denied and partially approved referral requests for Medicare and MediCal lines of business. The Letter Review Coordinator ensures accurate processing of denials for the UM Department. This position requires that one be organized with the ability to multi-task and have a high attention to detail with a working knowledge of , CPT Coding and Medical Terminology.

REQUIREMENTS Minimum of two () years of experience as a data entry specialist. Experience with Commercial Plan coverage required

Experience as a data entry specialist, preferably in an HMO or Managed Care setting

Utilization Management experience preferred

High school diploma or GED required

This is a bilingual position. Identified bilingual team members in this role must take a language proficiency assessment and must receive a passing score. Key Qualifications Knowledge of CMC and Medi-Cal/managed care environment

Knowledge of Commercial managed care coverage

Requires knowledge of ICD-, CPT codes and medical terminology

Understanding of and sensitivity to multicultural community

Skilled in computer applications, including word processing, database, and spreadsheets

Excellent communication and interpersonal skills

Strong organization and high attention to detail

Ability to multitask and high degree of patience

Preferably - working schedule

Position is eligible for telecommuting/remote work location upon completing the necessary steps and receiving HR approval

INDH