Utilization Mangement Coordinator
Utilization Management Coordinator, Smyrna, GA - August 14, 2015
Each day can be very different from the day before. I have the wonderful responsibility to maintain the UM Faxes that come in each day and ensure the they are distributed to the appropriate person. I assist the coordination of HEDIS initiatives with the Health Plans the we services. I provide Provider education and take provider calls regarding claims, eligibility, authorizations credentialing and try to resolve them in a timely and professional manner. I help implement proper coding and billing guidelines for the eye medical plans. This is just a few of my daily activities, among other administrative duties.