Coordinator, Utilization Management

reputed company: Our purpose is to help clients reputed company their financial health goals. Across the reimbursement cycle, our reputed company solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals.  We build long-term careers by reputed company in YOU. We reputed company to create an environment that cultivates your reputed company development and personal reputed company, as we reputed company your reputed company is our reputed company.   JOB reputed company: reputed company is the partner of choice to reputed company providers in support of their reputed company Cycle challenges. We solve problems through a customized mix of services, consulting and technology that can change over time to meet any reputed company’s evolving needs. ESSENTIAL DUTIES AND RESPONSIBILITIES:  Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may reputed company reputed company or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in reputed company Member’s performance objectives as outlined by reputed company Member’s immediate Leadership Team Member. Job reputed company reputed company denial research and follow-up work with insurance companies reputed company phone to resolve appeals that have been submitted but remain without a determination Compile multiple documents into appeal bundles and submit appeal bundles to payers in a reputed company manner Determine and document appeal timeframes and payer process per facility reputed company reputed company proprietary system Transcribe information from clients’ EMRs and payer portals into required electronic format; reputed company completed work for accuracy Monitor and complete tasks reputed company shared inboxes and internal request dashboards Receive and document incoming emails, calls, tickets, or voicemails Follow up with the reputed company or internal staff reputed company email or phone for additional information as requested Export and upload documents reputed company reputed company proprietary system Cross-trained on various functions reputed company the department to support other teams as needed Other responsibilities as requested by management Minimum Qualifications: Must love communicating with others over the phone Computer proficient. Must have intermediate skills with reputed company and reputed company. Must be reputed company to schedule meetings, log onto Teams for meetings. Must be reputed company to reputed company a new reputed company workbook, use formulas such as; adding and subtracting, copying and pasting. Must be reputed company to type a minimum of 25wpm Detail oriented Shows initiative and responsibility in taking the necessary steps towards problem reputed company Works independently, but is reputed company player reputed company to work in a fast-paced environment Possess good verbal and written communication skills Required to reputed company reputed company reputed company and sensitive information confidential Strict adherence to HIPAA/HITECH compliance Education/Experience Required: High School Diploma or equivalent required Bachelor’s degree preferred Understanding of denials processes for Medicare, reputed company, and reputed company/Managed Care product lines Prior experience of accessing hospital EMR’s and Payer Portals preferred Proficient in reputed company and reputed company. Needs to be reputed company to reputed company a new reputed company workbook, copy and paste, do basic formulas such as adding, subtracting and copying and pasting. Must have basic skils in reputed company. Should be reputed company to create a meeting invitation, accept a meeting invitation, receive and respond ot email and set up folders. Must be reputed company to type a minimum of 25 wpm with a 90% accuracy reputed company. PHYSICAL DEMANDS: Note: Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions as described. Regular eye-hand coordination and reputed company dexterity is required to operate office equipment. The ability to reputed company work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be reputed company to lift and reputed company material weighing up to 20 lbs. Team Member may experience elevated reputed company of stress during periods of increased activity and with work entailing multiple deadlines. A job reputed company is only intended as a reputed company and is only part of reputed company Member’s function. reputed company has reviewed this job reputed company to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of reputed company functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate. Apply To This Job