About The Position

The Utilization Review Generalist performs administrative office duties for the Utilization Review department. The role manages and organizes confidential materials and records, provides assigned support services, collects and reports data, information, and analyses, and coordinates internal and external functions and reporting requirements. The position also meets with patients or their representatives to discuss the discharge appeal process.

Requirements

  • High school diploma.
  • Education in Office Systems Technology or a business/accounting-related field.
  • Two years of experience in a healthcare facility, with a focus on customer service, use of MS Office applications, and confidential records management.
  • Electronic Health Record (EHR) experience.
  • Ability to exercise independent problem-solving and goal-setting skills.
  • Given training and on-the-job experience, proficiency in the basic aspects of the job within three months of employment.

Nice To Haves

  • Formal training in basic computer applications.
  • Knowledge of medical terminology and a clear understanding of basic ICD and CPT codes.
  • RHIT certification.
  • Experience with Meditech.

Responsibilities

  • Manage and organize confidential materials and records.
  • Provide support services as assigned.
  • Collect and report data, information, and analyses.
  • Coordinate internal and external functions and reporting requirements of the Utilization Review department.
  • Meet with patients or their representatives to discuss the discharge appeal process.
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