UM Representative Supervisor reports to the UM Manager. The UM Representative Supervisor oversees the day-to–day planning of department operations including reviewing and updating phone line queues, employee skillsets and employee schedules to ensure the department consistently meets production standards and quality customer service is delivered. This position continually examines team performance, provides feedback, makes recommendations for training, and implements action plans to sustain and improve team performance. The UM Representative Supervisor disseminates information to the department in a timely, organized manner and is also responsible for communicating fundamental goals, assignments, and expectations to the team. The UM Representative Supervisor will also oversee time & attendance and any necessary disciplinary actions.
Job Title: Supervisor Utilization Management Representative
Clinic Location: Pearland Administrative Office
Department: Utilization Management
Job Type: Full Time
Salary Range: $57,948.80 – $71,593.60 (Pay is based on several factors including but not limited to education, work experience, certifications, etc.)
Required: High school diploma
Preferred: Associates or Bachelor’s degree
Required: 3-5 years of healthcare experience either in a physician office or hospital setting health plan, ACO or other managed care setting OR 3-5 years of experience as a UM Representative.
1-3 years of experience in a call center environment.
Preferred: 3-5 years Team Lead or Supervisory experience.
Previous Experience using a call documentation system and phone auditing systems.
Demonstrated ability in handling a high case load of complex issues.
Knowledge of Medical Terminology including CPT and ICD9 coding.
Required: Valid Texas driver’s license
Required: Experience using Microsoft Excel, Microsoft Word and a variety of software applications.
Knowledge of HMO, PPO and referral processes.
Excellent communication skills
Alpha/numeric data entry and basic PC Literacy.
Experience using Epic System
Preferred: EPIC” Tapestry Experience
Required: Excellent interpersonal, written, oral and presentation skills.
Strong ability to coach, counsel and motivate performance to achieve winning results.
Strong communication and interpersonal skills with the ability to effectively listen and communicate complex information in a clear and concise manner.
Preferred: Fluent in Spanish
Working Environment: Office
Start your career journey and become a part of a community of renowned Healthcare professionals. Kelsey-Seybold Clinic is Houston’s fastest growing, multispecialty organization with more than 40 premier locations and over 65 specialties. Our clinics are comprised of more than 600 physicians and as we continue to grow, our focus is providing quality patient care by adding to our team of clinical and non-clinical professionals that work together in a convenient, coordinated, and collaborative manner. Enjoy the rewards of a successful career while maintaining a work/life balance by joining our team today and changing the way health cares.
Why Kelsey-Seybold Clinic?
- Medical, Vision, and Dental
- Tuition Reimbursement
- Company Matching 401K
- Employee Reward and Recognition Program
- Paid time off for vacation, sick, and holidays
- Employee Assistance Program
- Continuing Medical Education allowance