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Coordinator, Utilization Management
CorroHealthManage the authorization process end-to-end for healthcare clients at CorroHealth. Ensuring compliance and timely processing of authorizations while working remotely.
About the role
Key responsibilities & impact- 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
What you’ll need- 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
Comp & perks- 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!
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
Authorization ManagementMedical TerminologyInsurance ProcessesBilling Follow-UpEligibility Verification
Soft Skills
Excellent CommunicationStrong Organization SkillsMulti-Tasking Ability
Certifications
High School DiplomaAssociate Degree in Healthcare Administration