Coordinator, Utilization Management

Job not on LinkedIn

🔥 3 minutes ago

🇺🇸 United States – Remote

💵 $19 - $20 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

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CorroHealth

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

⚕️ Healthcare Insurance

☁️ SaaS

🤖 Artificial Intelligence

Healthcare Insurance • SaaS • Artificial Intelligence

CorroHealth is a leading provider of clinically led healthcare analytics and technology-driven solutions, focused on enhancing the financial performance of hospitals and health systems. Their integrated solutions and advanced technologies aim to optimize the entire revenue cycle, offering services such as revenue cycle management, clinical documentation, medical coding, and denials management. With a commitment to improving financial health through intelligent technology and expert guidance, CorroHealth addresses complex payer-provider relationships and supports efficient healthcare operations.

📋 Description

• 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.

🎯 Requirements

• High School Diploma or equivalent. • Associate degree in healthcare administration or equivalent preferred. • 2 years of experience in hospital related billing/follow-up/healthcare setting/authorization field. • Knowledge of/experience working with managed care contracts • Experience working with customer support/client issue resolution management. • Strong understanding of medical terminology and insurance processes. • Experience working in EMR systems, Epic preferred. • Excellent communication and organization skills. • Strong multi-tasking skills, working in a face paced environment. • Proficiency with MS Office and web systems.

🏖️ Benefits

• Remote within US ONLY • Equipment provided • Medical/Dental/Vision Insurance • 401k program • PTO: 80 hours accrued, annually • 9 paid annual holidays • Life Insurance • Short/Long term disability options • Tuition reimbursement • Professional growth and more!