Apply on Employer Site

CorroHealth · 1 day ago

Coordinator, Utilization Management

United States

Full-time

Onsite

Entry Level

$19/hr - $20/hr

2+ years exp

CorroHealth is dedicated to helping clients achieve their financial health goals through scalable solutions and clinical expertise. The Coordinator, Utilization Management will manage the authorization process, maintain documentation, and act as a liaison between hospital staff and health payers to ensure successful process completion.

AnalyticsFinanceFinancial ServicesFinTechHealth Care

Responsibilities

Manage the Authorization process end to end, from initial notification, entry and submission of required information, follow up all the way to determination and discharge

Maintain detailed documentation of the record in the EMR system, in the internal CorroHealth system and in the Health Payer portals

Verify correct eligibility and benefits for patients

Act as a liaison between the hospital staff and the Health Payer to facilitate information sharing and successful process completion within allocated timeframe

Review timely filing guidelines regarding the utilization management process

Track and follow up with payers on pending authorizations to ensure timely responses

Contact payer to elicit further information regarding status, decisions and remove hurdles in the processing

Identify and escalate issues that may result in delays or denials

Manage assigned workload of accounts through timely follow up and accurate record keeping

Maintain compliance with HIPAA and other healthcare regulations

Qualification

Healthcare administrationAuthorization process managementEMR systemsMedical terminologyManaged care contractsCustomer supportMS OfficeMulti-tasking skillsCommunication skillsOrganization skills