Utilization Management Administration Coordinator – Phone Intake

CenterWell Senior Primary Care

Utilization Management Administration Coordinator providing support to healthcare providers via phone. Managing authorization inquiries and collaborating with UM teams in a high-volume environment.

Posted 5/22/2026full-timeRemote • Florida, Texas • 🇺🇸 United StatesJunior💰 $40,000 - $52,300 per yearWebsite

About the role

Key responsibilities & impact

Provide high-quality support to healthcare providers contacting the call center to initiate referral authorizations or check the status of existing requests
Serve as a key liaison between providers and internal UM teams, ensuring timely and accurate processing of referral and authorization inquiries in accordance with organizational policies and regulatory guidelines
Provide non-clinical support for the policies and procedures ensuring best and most appropriate treatment, care or services for members
Respond promptly and professionally to incoming calls from providers
Accurately gather, verify, and enter provider and member information into the appropriate systems
Review and process referral authorization requests according to established UM protocols, policies, and regulatory requirements
Collaborate with clinical and administrative staff to resolve issues, clarify requirements, and ensure efficient case management
Provide clear, concise, and courteous information regarding UM processes, documentation requirements, and referral guidelines
Monitor call queues and manage multiple tasks to maintain service level agreements and minimize provider wait times
Identify and escalate complex or urgent cases to the appropriate clinical or supervisory staff as needed
Maintain thorough documentation of all interactions and transactions in accordance with company standards
Participate in ongoing training and quality assurance activities to maintain up-to-date knowledge of UM policies and procedures
Adhere to all applicable privacy, confidentiality, and compliance regulations

Requirements

What you’ll need

1 or more years administrative or technical support experience
Excellent verbal and written communication skills
Working knowledge of MS Office including Word, Excel, and Outlook in a Windows based environment
Must have accessibility to high-speed DSL or Cable modem for a home office (Satellite internet service is NOT allowed for this role); recommended speed is 10Mx1M
Proficient utilizing electronic medical record and documentation programs
Proficient and/or experience with medical terminology and/or ICD-10 codes
Bachelor's Degree in Business, Finance or a related field (Preferred)
Prior member service or customer service telephone experience desired (Preferred)
Experience with Utilization Review and/or Prior Authorization, preferably within a managed care organization (Preferred)

Benefits

Comp & perks

Medical, dental and vision benefits
401(k) retirement savings plan
Time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave)
Short-term and long-term disability
Life insurance

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

administrative supporttechnical supportelectronic medical record programsICD-10 codesUtilization ReviewPrior Authorizationdata entrycase managementdocumentationMS Office

Soft Skills

communication skillscustomer serviceproblem-solvingcollaborationattention to detailtime managementprofessionalismcourtesyadaptabilitytraining participation