Utilization Review Administrative Coordinator

🔥 2 minutes ago

🌐 Brazil, El Salvador, +4 more countries – Remote

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⏰ Full Time

🟡 Mid-level

🟠 Senior

📋 Administrative Assistant

👻 Ghost score 22%

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Logo of Teamswell

Teamswell

11 - 50 employees

Founded 2021

🎯 Recruiter

👥 HR Tech

🤝 B2B

Recruitment • HR Tech • B2B

Teamswell is a nearshoring and talent-placement company that connects US companies with vetted, bilingual professional talent from Latin America. They provide end-to-end hiring services — sourcing, cognitive and language screening, cultural fit assessment, onboarding, payroll, compliance, and HR support — so hires function as full team members working in US time zones. Teamswell places roles across engineering, data & AI, security & IT, product, design, marketing, finance & admin, and customer operations, emphasizing quality, cost savings, and real-time collaboration.

📋 Description

• Manage the Authorization email and assign new intakes to the appropriate team member • Identify discharged cases, step-downs, and changes in levels of care • Identify insurance or policy changes that could affect authorization or reimbursement and communicate them appropriately • Recognize urgent or time-sensitive authorization matters and ensure they are addressed • Submit assigned CareOregon authorization requests through the payer portal • Accurately enter authorization information into OpenPM • Review information for accuracy and identify discrepancies, missing documentation, or incomplete information • Follow assigned items through completion and maintain appropriate documentation • Communicate clearly and professionally with treatment facilities, clinical teams, payers, and internal team members • Learn payer requirements, authorization processes, and behavioral health levels of care • Provide additional administrative support to the Utilization Review team as needed

🎯 Requirements

• Exceptional attention to detail and accuracy • Strong organizational and time-management skills • Excellent written and verbal communication • Strong problem-solving and critical-thinking abilities • Ability to learn new systems, payer requirements, and processes quickly • Initiative, accountability, and consistent follow-through • Strong ownership mentality, taking full responsibility for assigned tasks and deliverables • Sound judgment and the ability to recognize when an issue needs to be escalated • Professionalism when communicating with facilities, payers, and internal teams • Previous experience in behavioral health, healthcare administration, medical billing, insurance, utilization review, or revenue cycle management is preferred but not required • Experience working with insurance portals, electronic health records, or practice management systems preferred but not required • Familiarity with behavioral health levels of care such as Detox, RTC, PHP, and IOP is a plus • CareOregon or Medicaid experience is a plus • OpenPM experience is a plus • Strong computer and data-entry skills

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