Utilization Review Coordinator

4 Horn Management • Rayville, LA

9h

About The Position

Utilization Review Coordinator Job Description

Responsibilities: 

Responsible for prior- authorizations with client’s insurance provider
Responsible for concurrent reviews, and sending discharge plans to insurance provider
Responsible to be patients advocate with their insurance provider
Responsible for collaborating with treatment team to gather information for insurance providers 
Responsible for entering all authorizations in EMR system in patients’ chart 
Maintains relationships with insurance providers for facility, and informs treatment team of any updates or changes from MCO’S 
Works closely with Billing Coordinator 
Other duties as assigned

Requirements

• Graduate of a practical or vocational nursing program
• Current license to practice nursing in the state of Louisiana
• Minimum of 1 year experience in a clinical setting
• Current CPR certification
• Minimum of 2 years uninterrupted sobriety if in personal recovery
• Strong interpersonal skills
• Strong knowledge of Microsoft Office and related software
• Strong oral and written communication skills
• 2 years or more of medical office experience, mental health preferred
• Must be able to perform essential job functions of this job

Responsibilities

• Responsible for prior- authorizations with client’s insurance provider
• Responsible for concurrent reviews, and sending discharge plans to insurance provider
• Responsible to be patients advocate with their insurance provider
• Responsible for collaborating with treatment team to gather information for insurance providers
• Responsible for entering all authorizations in EMR system in patients’ chart
• Maintains relationships with insurance providers for facility, and informs treatment team of any updates or changes from MCO’S
• Works closely with Billing Coordinator
• Other duties as assigned

What This Job Offers

• Job Type: Full-time
• Education Level: No Education Listed