Coordinator, Utilization Management (REMOTE)

CorroHealth • OK-Remote, OK

1d • $19 - $20 • Remote

About The Position

CorroHealth is the partner of choice to healthcare providers in support of their Revenue Cycle challenges. We solve problems through a customized mix of services, consulting and technology that can change over time to meet any client’s evolving needs. This is a REMOTE position. Within US Only. Required Schedule: Sunday - Thursday or Tuesday - Saturday, 8:00 AM to 5:00 PM EST - Some holiday coverage required. Preferred shift cannot be guaranteed. Hourly Salary: $19.00 - $20.00.

Requirements

• High School Diploma or equivalent.
• 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.

Nice To Haves

• Associate degree in healthcare administration or equivalent preferred.

Responsibilities

• 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.

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

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED