Health Entry Coordinator (Remote)

MRIoA•Salt Lake City, UT

5d•Remote

About The Position

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. Our Health Entry Coordinator is responsible for carrying out day-to-day departmental tasks and completing all processes for screening incoming review requests, preparing review information and materials for assignment to appropriate Reviewers and maintaining online case summary/tracking system information

Requirements

Ability to work under pressure and meet deadlines while managing multiple high priorities
Personal computer literacy and high competency in use of Microsoft Word, Microsoft Excel and Adobe
Strong working knowledge of basic anatomy, physiology and medical terminology
Strong detail orientation
Strong organizational skills
Strong oral and written communication skills
Well-developed customer service and training skills
Ability to work independently with minimal supervision
Understanding and knowledge of company's clients, products, departments and workflows, and applicable regulatory requirements and accreditation standards
Minimum of one year’s experience in similar operations
Experience in health care, managed care or utilization management company
High school diploma

Nice To Haves

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

Responsibilities

To prepare high-quality, complete packets of appropriate case review information and materials for submission to the panel reviewers
To serve as company liaison with clients, reviewers, and practitioners/providers/facilities whose services are subject to review
Screen incoming review requests for completeness of materials required to conduct the review of the case
Prepare, organize, distribute, and present records, materials, and forms required for a complete case review packet for Reviewers
Identify appropriate Reviewers for case review assignment including (next two bullet points):
Determine their availability for a review assignment; and
Obtain information for delivery of the case to the reviewer, if applicable
Contact clients to resolve questions, obtain information, records and/or materials needed for a case review and resolve issues about active cases
Respond to reviewers’ requests for additional information/materials necessary for a review and notify clients and other internal departments of these needs, as applicable
Coordinate and record phone consultations between Reviewers and practitioners/providers/facilities that are party to a review case
Create and maintain an in-house review file for each active case
Respond to inquiries from clients, other entities referring cases for review, and practitioners/providers/facilities
Support all Quality Management initiatives
Actively participate in the Complaint Process and Provider Relations assessment process
Support all Compliance Program activities
Provide backup support to staff in other areas as applicable
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