Location
Green Bay, WI, United States
Posted on
Dec 04, 2021
Profile
Description
The Compliance (UM) Coordinator 2 conducts and summarizes compliance audits. The Compliance (UM) Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments.
Responsibilities
The Compliance (UM) Coordinator 2 collects and analyzes data daily, weekly, monthly or as needed to assess outcome and operational metrics for the team and individuals. Ensures mandatory reporting completed. Decisions are typically focus on interpretation of area/department policy and methods for completing assignments. Works within defined parameters to identify work expectations and quality standards, but has some latitude over prioritization/timing, and works under minimal direction. Follows standard policies/practices that allow for some opportunity for interpretation/deviation and/or independent discretion. Mandatory weekend/holiday On Call rotation for compliance timeframes and QIO appeals
Required Qualifications
1-2 years of Administrative Support experience in a healthcare setting
Strong attention to detail with excellent organizational and time management skills
Excellent communication skills both verbal and written
Proficiency in all Microsoft Office applications, including Word, Excel and Outlook
Working knowledge of computers, or a demonstrated technical aptitude and an ability to quickly learn new systems
Ability to work independently under general instructions and with a small team to meet compliance timeframes
Must be passionate about contributing to an organization focused on continuously improving consumer experiences
Must have the ability to provide a high speed DSL or cable modem for a home office (Satellite and Wireless Internet service is NOT allowed for this role). A minimum standard speed for optimal performance of 10x1 (10mbs download x 1mbs upload) is required
Preferred Qualifications
Associates or Bachelor's Degree in Business, Finance or a related field
Familiarity with CMS guidelines, Medicare experience, knowledge of appeal process
Previous experience working in a compliance or utilization review setting
Additional Information
Hours for this role are: Tuesday - Saturday 9:30am-6:30pm CST
Mandatory weekend/holiday On Call rotation for compliance timeframes and QIO appeals
Scheduled Weekly Hours
40
Company info
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