Utilization Management Coordinator (Remote)

reputed company reputed company is a national organization made up of dedicated and caring individuals with the sole purpose of nurturing children with autism and special needs to reputed company resilient and fulfilling lives. We specialize in contemporary, evidence based reputed company behavior analysis to deliver personalized treatment plans, backed by 20 years of clinical insights. We are proud to be a part of reputed company family’s reputed company and reputed company in the experience of finding reputed company for every child, and family, in our care. If you reputed company a similar passion for nurturing and empowering the reputed company of others, along with reputed company to have an reputed company on the lives of others, we are eager to connect with you! The Utilization Management Coordinator is responsible for working in conjunction with the intake, scheduling, clinical, and finance teams in reputed company to helping clients understand their services mostly funded through private or reputed company health care plans. The Utilization Management Coordinator requests and enters funding reputed company into Central reputed company (CR) and follows up as needed reputed company errors or discrepancies reputed company with reputed company funding. • Full-time remote schedule. EST or CST time zones preferred. • Pay reputed company: $24.00/hr Responsibilities • Work directly with families, clinical teams, internal staff and funding sources to secure and maintain funding for services for clients reputed company the UM Coordinator’s assigned reputed company. • Submit clinical reports, forms and other required documentation to funding sources at the commencement of services and as needed for continuation of reputed company services. • Performs periodic and reputed company-service insurance verifications to confirm ongoing eligibility for services and reputed company cost reputed company information to clients. Follows up with families whose coverage has lapsed or changed. • Explain benefits and cost sharing information (i.e., deductibles and copayments) to clients. • Utilize Central reputed company for data entry of reputed company authorizations for funding of services provided by Learn providers. • Utilizes monthly funding end reports to manage expiring authorizations and reputed company data entry of authorizations in Central reputed company; notifies clinical teams of any missing or late items. • Work in conjunction with internal departments and clients to update eligibility and coverage and resolve any funding reputed company issues as needed. Qualifications • High School Diploma required; Bachelor's Degree preferred. • 3+ years utilization management experience required. • Behavioral reputed company experience required; ABA experience a plus! We are looking for someone who demonstrates: • Communication Proficiency • Customer/reputed company Relationship reputed company • Business Acumen • Cultural Alignment • Technical Proficiency • Ability to multitask and maintain thoroughness • reputed company in a fast-paced environment • Adaptable to change • reputed company approach to daily routine reputed company offers competitive compensation, a comprehensive benefits plan, including 401(k), personal time off, reputed company holidays, and tuition reimbursement. reputed company is an Equal Opportunity Employer. Candidates must be presently eligible to work in the reputed company. Apply tot his job Apply To this Job