Coordinator, Office Utilization Review (FT, Days) Monterey Park Hospital

AHMC Healthcare • Monterey Park, CA

33d • Onsite

About The Position

Monterey Park Hospital, a 101-acute care facility located in the San Gabriel Valley of Los Angeles County, is seeking an Office Coordinator for our Utilization Review Department. This is a full-time, 8-hour day shift position reporting to the Chief Operating Officer.

Requirements

• Administrative duties and assisting case managers with the daily operations of the department.

Nice To Haves

• Knowledge in Google Workspace (Docs, Sheets, etc.)
• 2 years of experience in an acute care setting (i.e., Admitting, Medical Records, Business Office)

Responsibilities

• Processes all new patient admissions by preparing case reviews, including patient insurance information, for our Case Managers.
• Prints the daily census to ensure proper caseload distribution.
• Prepares Treatment Authorization Requests (TARs) for all medical inpatients as required.
• Prepares, logs and faxes all TARS according to hospital guidelines, including notifying physicians of medical denials, processing deferred TARS, communicating with a medical nurse reviewer and making copies of medical documents for TAR review.
• Communicates with IPAs and management companies regarding out-of-network capitated business and documents all communications.
• Assists in collecting data relevant to patient discharge.
• Helps coordinate nursing facility placements as directed by the Case Managers.
• Performs other clerical duties as needed within the department, including answering and screening phone calls and taking department meeting minutes.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed