Job Description

Job Description

Job Description

UM Coordinator | Pay Rate: $19.80 – $24.76/ hr. | Schedule: Remote with Onsite as Needed | Temp orary

What Matters Most:

• Competitive pay of $19.80 – $24.76/hr. plus potential for growth
• Schedule: Thursday – Sunday, 4x10 schedule, with flexibility on weekdays but mandatory weekend shifts
• Location: Houston, TX - Remote, with mandatory onsite meetings, orientation, or training as needed
• Temporary opportunity
• Weekly pay with direct deposit or pay card
• When you work through The Reserves Network, you are eligible to enroll in medical, dental, and vision insurance, as well as 401K, direct deposit, and our referral bonus program

Job Description:
The UM Coordinator supports accurate processing of authorizations, data entry in the Utilization Module, and non-clinical service requests to assist clinical staff and Medical Directors in making informed medical decisions. This role is primarily remote but requires onsite attendance for training, meetings, or departmental needs.

Responsibilities:

• Accurately process and enter inpatient admissions, discharges, observation authorizations, home health services, and durable medical equipment requests
• Respond to provider hotline calls promptly and professionally, forwarding calls to the appropriate clinical staff or departments
• Utilize ICD-10 and HCPC codes to ensure correct processing of authorizations and referrals
• Screen documents for key information to support decision-making for clinical staff and Medical Directors
• Monitor reports and refer cases to UM Nurses or Managers while meeting regulatory timelines

Qualifications and Requirements:

• High school diploma or equivalent (some college preferred)
• Minimum of 3 years of experience in referrals/authorization, including inpatient admission and discharge processes
• Hands-on experience with prior authorizations and referrals, ICD-10, and HCPC codes
• At least 1 year of experience in an insurance or managed care environment
• Strong data entry skills and proficiency in Microsoft Word, Excel, and Outlook

Benefits and Perks:

• Pay rate of $19.80 – $24.76/hr.
• Medical, dental, and vision insurance options
• 401(k) retirement plan with direct deposit
• Referral bonus program

Your New Organization:
Join a respected healthcare organization that values accuracy, teamwork, and professional growth. Enjoy a remote schedule with the opportunity to collaborate with a skilled team dedicated to quality service and patient care.

Your Career Partner:
Team1Medical, a Reserves Network Company, specializes in connecting exceptional talent with rewarding healthcare opportunities. With extensive industry experience, we are dedicated to helping you achieve your professional goals and shine in your field. Team1Medical values diversity and encourages applicants from all backgrounds to apply. As an equal-opportunity employer, we foster an environment of respect, integrity, and trust in every aspect of employment.

Pay Transparency Statement:
In the spirit of pay transparency, we want to share that the base pay range for this position is $19.80 – $24.76 per hour, not including benefits, potential bonuses, or additional compensation. If you are hired, your base pay will be determined based on factors such as individual skills, qualifications, experience, and geographic location. We also believe in the importance of pay equity and consider the internal equity of our current team members as a part of any final offer. The range mentioned above is the full base pay range for the role, and hiring at the maximum of the range would not be typical to allow for future and continued salary growth.

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