Bilingual Telephonic UM Coordinator

The Bilingual Telephonic UM Coordinator will provide non-clinical support for policies and procedures to ensure members receive the best and most appropriate treatment, care, or services. Responsibilities include receiving calls from providers, hospitals, skilled nursing facilities, and other vendors, and supporting UM Nurses with discharge orders and facility arrangements. The coordinator will also collaborate with UM Nurses, Pharmacy, Medical Directors, and other departments, and make outbound calls during downtime. Key duties involve documenting all calls and requests, researching Medicare and Medicaid guidelines, processing same-day incoming fax/email requests for services, and returning same-day voice messages. Additionally, the role entails processing and mailing provider and member letters, assisting the team with clerical and administrative tasks, and participating in special projects as assigned.