Utilization Management Insurance Liaison
UR Thompson Health
full-time
Posted on:
Location Type: Hybrid
Location: Canandaigua • New York • United States
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Salary
💰 $20 - $25 per hour
Job Level
About the role
- Managing the submission of clinical documentation to insurance companies for hospital admissions
- Tracking insurance approvals and denials
- Coordinating appeals and peer to peer discussions between hospital providers and insurance companies
- Ensuring compliance with CMS regulations, NYS regulations and insurance company policies
- Acting as liaison to the business office and other hospital departments
- Supporting the Utilization Management team by completing administrative tasks and assisting with coverage of select tasks when other members of the team are on vacation or leave
Requirements
- High School Graduate or equivalent required
- Associate or Bachelor’s degree preferred
- 1-3 years’ experience in a healthcare environment required
- Strong computer, communication & organizational skills
- Previous experience reviewing and analyzing denials, claims and rejections preferred
- Previous experience with reimbursement systems, DRGs/APCs, medical billing CPT codes, ICD10 coding guidelines preferred
Benefits
- Health, dental, vision insurance
- Tuition reimbursement up to $6000/year
- Contribution and match on Retirement Plan
- Four weeks paid time off
- Access to Success coaches
- Free parking
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
medical billingCPT codesICD10 codingreimbursement systemsDRGsAPCsclaims analysisdenial review
Soft Skills
communication skillsorganizational skillsinterpersonal skills