Utilization Review Assistant- Remote
About The Position
This position will assist in the coordination of all activities related to insurance authorizations process for the Patient Access Utilization Review (UR) department. Activities may consist of collaborating with various medical staff and Medical Center personnel, participating in non-clinical appeals process, obtaining status updates on all outstanding appeals, monitoring and tracking of all financial activities related to the UR team. Participates in quality management and continuous quality improvement activities. Perform all job duties and responsibilities in a courteous and customer-focused manner according to the Hurley Family Standards of Behavior. Works under the direction of the Director of Patient Access or designee who reviews work for effectiveness and compliance with established standards, policies, and procedures.
Requirements
- Experience in insurance authorizations process.
- Ability to collaborate with medical staff and personnel.
- Experience in non-clinical appeals process.
- Ability to obtain status updates on appeals.
- Ability to monitor and track financial activities.
- Knowledge of quality management and continuous quality improvement.
- Customer-focused manner and adherence to behavioral standards.
Responsibilities
- Assist in the coordination of all activities related to insurance authorizations process for the Patient Access Utilization Review (UR) department.
- Collaborate with various medical staff and Medical Center personnel.
- Participate in non-clinical appeals process.
- Obtain status updates on all outstanding appeals.
- Monitor and track all financial activities related to the UR team.
- Participate in quality management and continuous quality improvement activities.
- Perform all job duties and responsibilities in a courteous and customer-focused manner according to the Hurley Family Standards of Behavior.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
No Education Listed
