Utilization Review Coordinator Assistant

Pyramid Healthcare•Allentown, PA

10h

About The Position

Pyramid Healthcare is dedicated to offering the highest quality of care to those we serve. A focus on client-focused care establishes our family of brands as respected leaders in addiction treatment, mental health recovery and eating disorder treatment modalities. Pyramid Healthcare offers comprehensive behavioral healthcare defined by supportive environments that offer patients the strength they need to overcome life’s challenges. We offer behavioral healthcare services – psychiatry, addiction recovery, mental disorder treatment, etc. – that allow clients at all stages of recovery or rehabilitation to reclaim health and well-being. Summary: The Utilization Review Assistant provides administrative and operational support to the Utilization Review team to ensure timely and accurate completion of authorizations and documentation. This role assists with communication between funders, providers, and internal departments to maintain program efficiency and compliance.

Requirements

High school diploma or equivalent required
Excellent oral and written communication and interpersonal skills
Ability to problem solve by gathering and analyzing information
Proficiency with electronic documentation or tracking systems used to manage admissions, authorizations, and client records, as well as standard office software applications.
Ability to work both independently and collaboratively across departments to support efficient workflow
Ability to handle a crisis and or potential risk situation and react appropriately
A working knowledge of federal and state standards as well as regulating body and compliance standards.

Nice To Haves

Previous experience in a behavioral health, medical, or administrative support setting preferred

Responsibilities

Track and monitor all client admissions to ensure timely completion of documentation and authorization follow-up.
Maintain accurate admission, authorization, and tracking records to ensure compliance and data accuracy.
Verify insurance coverage and eligibility to ensure active funding prior to admission.
Communicate with funding sources to clarify requirements and resolve authorization issues.
Assist with scheduling and coordinating peer-to-peer reviews between providers and funders.
Support Utilization Review staff with ongoing administrative tasks and documentation updates.
Report client discharges to funders as directed, in accordance with program and payer requirements.
Collaborate with internal departments to support communication, workflow, and overall program efficiency.
Must exercise discretion and maintain confidentiality with regard to all company information
Completion of all required trainings as designated by the company and accreditation/licensing entities.
Other duties as assigned.