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UM Program Associate

Rego Park, New York Apply Now Job ID 1143833 Category Health Insurance Operations Organization Centene Corporation Schedule Full-time
Description:
Position Purpose: The Team Associate will be responsible for supporting the department by coordinating functions and completing administrative, telephonic and clerical duties as assigned.
  • Create spreadsheets with appropriate data, as requested and assigned; provide others with organized statistical reports or graphs.
  • Problem-solve nonclinical issues; order and maintain such services as meals on wheels, DVRs, purchasing of medical supplies and non medical essentials.
  • Provides phone coverage and clerical support to the team. Places follow-up telephone calls.
  • Assists staff within teams to facilitate workflow and ensure efficient service to our customers.
  • Coordinates/implements mailings.
  • Assists in preparing monthly audits.
  • Provides support to members of the department and supports various department functions.
  • Handles data entry and maintains database.
  • Handles follow-up telephone calls.
Qualifications:

Education/Experience: 
  • High School Diploma or equivalent. 
  • Minimum 1 year experience.
  • Previous experience within the healthcare insurance industry with provider relations preferred
  • Previous Utilization Management and/or appeals experience strongly preferred. 
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