The UM Administration Coordinator provides non-clinical support for the policies and procedures ensuring best and most appropriate treatment, care or services for members utilizing Home Health and Skilled Nursing Facility services. Manages NLP's for chart reviews for the nursing team, builds and pends authorizations for review, and is responsible for inbound and outbound calls to engage providers and members to verify clinical information.
Responsible for performing day to day operations within the RNG operations group, focused on document gathering from clients, record keeping, interfacing with the EPA database, generation of environmental attributes (EA’s) from RNG production through credit generation and sales. Participate in company’s objectives within the EPA’s Renewable Fuel Standard (RFS) and other State Low Carbon Fuel Standard (LCFS) compliance programs.
The Payment Operations Associate will perform clerical tasks within our Business Operations Department, helping clients settle unsecured debt. Responsibilities include managing settlement pipelines, communicating with creditors, acquiring documentation, and ensuring sufficient deposit account balances. The associate will also scan documents, provide support in word processing, and handle special projects.
The Coding Specialist is responsible for performing accurate diagnostic and procedural coding for outpatient and/or inpatient medical records within a multi-specialty organization. This role ensures compliance with industry coding standards while meeting productivity, quality, and timeliness benchmarks. The specialist also serves as a subject matter expert and resource for other staff and may be assigned additional duties by management as needed.