UM Support Clerk

Summary

The UM Support Clerk provides effective communication between data entry team, IPA teams, providers and members to ensure timely accessible care and services. They work with Compliance team to prepare for audits. Reporting to the Outpatient UM Manager, the UM support Clerk adheres to MPM company policies and procedures.

Duties and Responsibilities:

• Sorts and reassigns incoming faxes on right fax
• Labels incoming fax with member name
• Attaches incoming medical records to EZCAP database
• Outreach provider offices for additional information according to CMS or State guidelines
• Assist providers in referral submission
• Alerts Clinicians when medical records are complete
• Assist in collecting data for UM audits
• Answers UM phone calls
• Regular attendance at UM meetings
• Assist in special projects, as needed

Minimum Job Requirements:

• High School graduate or GED equivalent
• 1 year of experience in the medical field
• Knowledge of medical terminology
• Proficiency in Microsoft Office programs, especially Word and Excel
• Proficiency in EZ CAP a plus

Skills and Abilities:

• Ability to multi-task while remaining adaptable and flexible to fast-paced environment
• Strong organizational skills
• Critical thinking skills with the ability to prioritize multiple projects