Job Details

Compliance UM Letters Coordinator 2 - Remote Tuesday-Saturday

Location
Fargo, ND, United States

Posted on
Dec 04, 2021

Apply for this job






Profile

Description

The Compliance (UM) Coordinator 2 conducts and summarizes compliance audits. The Compliance (UM) Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments.

Responsibilities

The Compliance (UM) Coordinator 2 collects and analyzes data daily, weekly, monthly or as needed to assess outcome and operational metrics for the team and individuals. Ensures mandatory reporting completed. Decisions are typically focus on interpretation of area/department policy and methods for completing assignments. Works within defined parameters to identify work expectations and quality standards, but has some latitude over prioritization/timing, and works under minimal direction. Follows standard policies/practices that allow for some opportunity for interpretation/deviation and/or independent discretion. Mandatory weekend/holiday On Call rotation for compliance timeframes and QIO appeals

Required Qualifications


1-2 years of Administrative Support experience in a healthcare setting
Strong attention to detail with excellent organizational and time management skills
Excellent communication skills both verbal and written
Proficiency in all Microsoft Office applications, including Word, Excel and Outlook
Working knowledge of computers, or a demonstrated technical aptitude and an ability to quickly learn new systems
Ability to work independently under general instructions and with a small team to meet compliance timeframes
Must be passionate about contributing to an organization focused on continuously improving consumer experiences
Must have the ability to provide a high speed DSL or cable modem for a home office (Satellite and Wireless Internet service is NOT allowed for this role). A minimum standard speed for optimal performance of 10x1 (10mbs download x 1mbs upload) is required


Preferred Qualifications


Associates or Bachelor's Degree in Business, Finance or a related field
Familiarity with CMS guidelines, Medicare experience, knowledge of appeal process
Previous experience working in a compliance or utilization review setting


Additional Information


Hours for this role are: Tuesday - Saturday 9:30am-6:30pm CST
Mandatory weekend/holiday On Call rotation for compliance timeframes and QIO appeals


Scheduled Weekly Hours

40

Company info

Sign Up Now - HealthcareCrossing.com

Similar Jobs:
Corporate Strategist
Location : Fargo, ND
Description Responsibilities Humana's Corporate Strategy team is a small, high-performing organization that works closely with Humana's senior leadership to chart the course for the company's future. Within Strategy Operations, ...
Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support optimal reimbursem...
Medical Director - Work at Home
Location : Fargo, ND
Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-d...
EmploymentCrossing was helpful in getting me a job. Interview calls started flowing in from day one and I got my dream offer soon after.
Jeremy E - Greenville, NC
  • All we do is research jobs.
  • Our team of researchers, programmers, and analysts find you jobs from over 1,000 career pages and other sources
  • Our members get more interviews and jobs than people who use "public job boards"
Shoot for the moon. Even if you miss it, you will land among the stars.
HealthcareCrossing - #1 Job Aggregation and Private Job-Opening Research Service — The Most Quality Jobs Anywhere
HealthcareCrossing is the first job consolidation service in the employment industry to seek to include every job that exists in the world.
Copyright © 2024 HealthcareCrossing - All rights reserved. 169 192