UM Coordinator, Inpatient; Remote | Part-Time Weekends | PT | Weekday Training

Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve.

In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them. Together.

Alignment Health is seeking an organized, detail-oriented, and customer service-oriented remote UM Coordinator (inpatient) to join our UM team. This is a part-time weekend role that requires availability every Saturday and Sunday during Pacific Time hours. As an Inpatient UM Coordinator, you will assist with managing census and admissions, retrieving medical records, and supporting discharge planning while working closely with the Case Management (CM) Supervisor, Manager, and Director of Healthcare Services.

If you are hungry to learn and grow, want to be part of a growing organization, and make a positive impact in the lives of seniors, we're looking for you!

• Every Saturday and Sunday
• Option A: 7:00 AM - 4:00 PM Pacific Time
• Option B: 11:00 AM - 7:00 PM Pacific Time

• This position requires 4 weeks of mandatory weekday training
• Training is Monday through Friday, 4 hours per day, scheduled within the hours of 8:00 AM–5:00 PM Pacific Time
• Specific training hours may vary based on trainer availability and business needs
• Attendance is required throughout the full 4-week training period

• Assist team with daily census by entering face sheets for hospitals and skilled nursing facilities (SNF).
• Obtain medical records from hospitals and SNF’s.
• Attach medical records to authorizations.
• Enter referral requests / authorizations in system using ICD 10 and CPT coding.
• Monitor fax folders.
• Complete and document tasks as assigned by nurse.
• Maintain documentation on facilities contacted.
• Assist with maintaining and updating member’s records.
• Assist with mailing or faxing correspondence to facilities, related to, as needed.
• Request medical records from facilities, etc., related to members activities, as needed.
• Attend case management presentations and participates, as appropriate.
• Recognize work‑related problems and contributes to solutions.
• Meet specific deadlines and respond to various workloads by assigning task priorities according to department policies, standards and needs.
• Maintain confidentiality of information between and among health care professionals.
• Be a positive team player.

• Inpatient concurrent review experience
• Experience with census and admission management
• Experience in discharge planning
• Experience entering referrals and prior authorizations.
• Experience with Medicare Advantage
• Experience with hospital and / or facilities backend admissions
• Knowledge of medical terminology
• Knowledge of ICD
  10 and CPT codes
• Knowledge of Medicare, HMO, MMO, managed care plans
• Computer proficient
• Medical assistant experience preferred
• Knowledge working in Access Express / Portal, Epic preferred

• High school diploma or general education degree (GED) or (4) years' additional experience in lieu of education.
• Medical Terminology Certificate preferred.

• Proficient in Microsoft Office (Outlook, Excel, Word)
• Able to type minimum 50 words-per-minute (WPM)
• Organized and detail oriented
• File systematically
• Good interpersonal skills
• Strong written, verbal, and telephonic communication…