Utilization Review Coordinator (REMOTE) @ Sabido | Jobright.ai
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Utilization Review Coordinator (REMOTE) jobs in Allentown, PA
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Sabido ยท 2 hours ago

Utilization Review Coordinator (REMOTE)

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Responsibilities

Perform admission, continued stay, and discharge reviews for managed care clients
Maintain organized reporting systems for counselors regarding PCPC requirements
Monitor insurance eligibility and funding accuracy
Collaborate with the Billing Department to manage client funding and reduce uncovered days
Conduct chart reviews to ensure compliance and proper documentation

Qualification

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Associate's DegreeHealthcare regulations knowledgeMedical terminologyData entryPre-certification processUtilization Review experienceHealthcare-related role experience

Required

Associate's Degree is required
Knowledge of local, state, and federal regulations in healthcare
Familiarity with medical terminology, appeal processes, and data entry (primarily Excel)
Understanding of the pre-certification process and PCPC

Preferred

Previous experience in Utilization Review or a related position within a healthcare setting

Benefits

Medical, Dental, and Vision Insurance
Paid Time Off
401(k) with Company Match
Tuition reimbursement
Employee recognition programs
Referral bonus opportunities

Company

Sabido

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A free, global, and open microlearning platform.

Funding

Current Stage
Early Stage
Company data provided by crunchbase
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Orion

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