Utilization Management Coordinator PRN

UT Southwestern Medical Center • Dallas, TX

8d • Onsite

About The Position

This position requires availability between 7am - 10pm. UT Southwestern is a renowned medical and research center with over 75 years of excellence in Dallas-Fort Worth, Texas. We are committed to excellence, innovation, teamwork, and compassion, striving to provide the best possible care, resources, and benefits for our employees. Ranked as the number 1 hospital in Dallas-Fort Worth by U.S. News & World Report, we invest in career growth and development. Our benefits package includes healthcare, PTO, paid holidays, on-site childcare, wage and merit increases, and more. We offer a culture of teamwork, professionalism, and a rewarding career.

Requirements

• High School Diploma
• 5 years of hospital and/or insurance industry experience.

Nice To Haves

• Some college preferred.

Responsibilities

• Assists in faxing initial, concurrent or discharge reviews to insurance companies.
• Documents information submitted/received by phone or fax from insurance companies into Epic.
• Manages phone and fax lines.
• Processes incoming faxes, scans documents and other clerical duties as deemed necessary to assist with the facilitation of Utilization Management functions.
• Communicates with insurance company to obtain pending authorizations.
• Responds to insurance requests for clinical reviews within time frames designated by contractual obligations.
• Generates and submits EPIC reports specific to third party payers.
• Maintains departmental productivity, quality metrics and completes assigned tasks in compliance with regulatory and departmental requirements.
• Calls payors to notify them of patient's admission, updates Payor Communication in EPIC, monitors work queue to ensure timely notification of admission.
• Performs other duties as assigned.

Benefits

• PPO medical plan, available day one at no cost for full-time employee-only coverage
• 100% coverage for preventive healthcare-no copay
• Paid Time Off, available day one
• Retirement Programs through the Teacher Retirement System of Texas (TRS)
• Paid Parental Leave Benefit
• Wellness programs
• Tuition Reimbursement
• Public Service Loan Forgiveness (PSLF) Qualified Employer

What This Job Offers

• Career Level: Mid Level
• Education Level: High school or GED