Utilization Management Coordinator

Job Description ESSENTIAL DUTIESLetters of agreementTimely review of all requests for letters of agreement assigned to work queueVerifying letter of agreement criteria is metServices not available in networkContinuation of CareVerifying information provided is sufficient to submit for letter of agreementSubmitting letters of agreement to Contracting Contacts for entities financially responsible for servicesFollow up and follow through for status and completion of letter of agreement.MINIMUM REQUIREMENTSUnderstanding of basic medical terminologyOrganized, efficient and possess superior attention to detailPunctual, prepared and able to meet or beat deadlinesExcellent written and verbal communication skillsManaged Care Healthcare Experience a plusEDUCATION/TRAININGHigh School diplomaCollege degree preferredOn Site training will be providedLANGUAGE SKILLSAbility to communicate and speak effectively before co-workers, management, and external contactsAbility to fluently speak, write, and understand EnglishAbility to write routine emails and other correspondenceAbility to speak clearly and concisely over the telephoneCONFIDENTIAL AND SENSITIVE INFORMATION:Must properly control the release of proprietary and confidential informationNote that the information above is intended to describe the general nature and level of work being performed by employees, and are not to be construed as an exhaustive list of responsibilities, duties, and skills required of personnel so classified. Furthermore, they do not establish a contract for employment and are subject to change at the discretion of the employer.Company Description Thrifty Management Services is the dedicated MSO for Preferred IPA of California, providing the best possible care management, care coordination, and claims processing services to Preferred IPA and their members. We work with the network’s participating physicians to coordinate patient care when a referral is made to a specialist or hospital for diagnosis and treatment. We coordinate patient care across all aspects of the provider network. We provide high quality services to its participating physicians and superior health care to its members. Company Description Thrifty Management Services is the dedicated MSO for Preferred IPA of California, providing the best possible care management, care coordination, and claims processing services to Preferred IPA and their members. We work with the network’s participating physicians to coordinate patient care when a referral is made to a specialist or hospital for diagnosis and treatment. We coordinate patient care across all aspects of the provider network. We provide high quality services to its participating physicians and superior health care to its members.