Utilization Review Administrative Coordinator
New
T
TeamswellHealthcare Administration
El Salvador. Nicaragua. Honduras. Guatemala. MexicoFull-Time
Salary not disclosed
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Job Details
- Required Skills
- Data entry
Requirements
- Exceptional attention to detail and accuracy
- Strong organizational and time-management skills
- Excellent written and verbal communication
- Strong problem-solving and critical-thinking abilities
- Ability to learn new systems, payer requirements, and processes quickly
- Initiative, accountability, and consistent follow-through
- Strong ownership mentality, taking full responsibility for assigned tasks and deliverables
- Sound judgment and the ability to recognize when an issue needs to be escalated
- Professionalism when communicating with facilities, payers, and internal teams
- Strong computer and data-entry skills
Responsibilities
- Manage the Authorization email, assign new intakes to the appropriate team member, and identify discharged, step-downs and changes in levels of care
- Identify insurance or policy changes that could affect authorization or reimbursement and communicate them to the appropriate team member
- Recognize urgent or time-sensitive authorization matters and ensure they are appropriately addressed
- Submit assigned CareOregon authorization requests through the payer portal
- Accurately enter authorization information into OpenPM
- Review information for accuracy and identify discrepancies, missing documentation, or incomplete information
- Follow assigned items through completion and ensure appropriate documentation is maintained
- Communicate clearly and professionally with treatment facilities, clinical teams, payers, and internal team members
- Learn payer requirements, authorization processes, and behavioral health levels of care
- Provide additional administrative support to the Utilization Review team as needed
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