UM Support Analyst
Role details
Job location
Tech stack
Job description
EyeMed is seeking two UM Support Analysts to provide administrative and operational support for Utilization Management (UM) prior authorization processes. This role involves a combination of administrative support, data entry, system documentation, and communication with providers and members regarding authorization requests., * Perform administrative and data entry tasks related to UM prior authorization requests
- Utilize systems including Facets, FileBound, and Jira to manage and track requests
- Conduct outbound notification calls to healthcare providers and members
- Maintain accurate documentation and records within internal systems
- Support workflow coordination and ensure timely processing of requests
- Collaborate with internal teams to resolve authorization and documentation issue
- Ensure compliance with EyeMed and client-specific regulatory requirements
Requirements
Do you have experience in Spreadsheets?, The ideal candidate will possess strong organizational skills, attention to detail, and the ability to multitask in a fast-paced healthcare environment., * Previous data entry and administrative support experience
- Proficiency with Microsoft Excel and Microsoft Office applications
- Strong attention to detail and organizational skills
- Excellent multitasking and critical thinking abilities
- Effective verbal and written communication skills, * Prior experience with Healthfirst or Anthem prior authorization processe
- Experience working in healthcare administration or utilization management environments
- Familiarity with Facets, FileBound, and Jira systems