Health Completion Coordinator (Remote)

MRIoA•Salt Lake City, UT

6d•Remote

About The Position

Who We Are - Motivated by Purpose. Powered by Clinical Expertise. Founded in 1983, we’re a clinically-driven, tech-enabled utilization management company offering expert clinical reviews, regulatory guidance, and actionable insights to healthcare organizations. Excellence starts with our people. WE OFFER A competitive compensation package. Benefits include healthcare, vision and dental insurance, a generous 401k match, paid vacation, personal time, and holidays. Growth and training opportunities. A team atmosphere with fun events and prizes scheduled throughout the year. WE OFFER A competitive compensation package. Benefits include healthcare, vision and dental insurance, a generous 401k match, paid vacation, personal time, and holidays. Growth and training opportunities. A team atmosphere with fun events and prizes scheduled throughout the year. POSITION OVERVIEW Our Health Completion Coordinator is responsible to carry out day-to-day departmental tasks and complete all processes for receiving and reviewing reviewer decisions, issuing appropriate, timely and accurate review outcome notifications and maintaining online case summary/tracking information. Roles: To finalize the case review process and issue review outcome notifications to appropriate parties of the case To serve as a company liaison with clients, reviewers and practitioners/providers/ facilities whose services are subject to review

Requirements

Ability to work under pressure and meet deadlines while managing multiple high priorities
Personal computer literacy and high competency in use of MS Word and ten key
Strong detail orientation
Strong organizational skills
Strong oral and written communication skills
Well-developed customer service and training skills
Working knowledge of basic anatomy, physiology and medical terminology
Ability to work independently with minimal supervision
Understanding and knowledge of company's clients, products, departments and workflows departments, and applicable regulatory requirements and accreditation standards
Minimum one year’s experience in similar operations
Experience in health care, managed care or utilization management company
High school diploma
All candidates are required to pass a Background Screen before beginning employment.
All newly hired employees will take a Drug Screen, as well as agreeing to all necessary Compliance Regulations on their first day of employment.
Employees are required to adhere to all applicable HIPAA regulations and company policies and procedures regarding the confidentiality, privacy, and security of sensitive health information.

Nice To Haves

Preference for Bachelor's degree preferably in business or health care

Responsibilities

Evaluate opinions submitted by reviewers upon conclusion of their reviews for compliance with company standards for completeness
Follow-up with reviewers whose submitted opinions do not meet all compliance standards
Issue oral and written review outcome notifications that comply with standards and requirements for timeliness, content, recipients and accuracy including written notification, grammar and spelling
Research clients’ questions about review processes and/or reviewer decisions
Determine need for additional information or additional review and notify the client and internal departments of these needs
Provide backup support to staff in other areas as applicable
Support all Quality Management initiatives
Actively participate in the Complaint Process and Provider Relations Assessment process
Support all Compliance Program activities
Participate in all company meetings and committees as requested
Maintain a flexible schedule to meet client needs
Adhere to all policies and procedures
Take feedback and responsibility for performance
Adapt to differences of clients
Complete other duties and responsibilities as directed
Training period to last from date of hire to an estimated 6 months
Production should increase regularly, with expected career path benchmarks
Quality should increase regularly, with expected career path benchmarks