Utilization Management Coordinator
JOB SUMMARY
The Utilization Management Coordinator for Value-Based RCM, Inc. (VBRCM) is responsible for proactively engaging payors with the purpose of securing authorizations for patient care.
MAJOR AREAS OF FOCUS
- Prior Authorizations
- Customer Service
RESPONSIBILITIES
- Use, protect, and disclose patient protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
- Exhibit professional behavior and communication skills representative of VBRCM's commitment to superior customer service
- Utilize system tools, dashboards, payer websites, payer portals, etc. in an effort to secure authorizations in a timely manner
- Collaborates with VBRCM leaders on potential cause and effect understandings
- Works as a team player
- Perform other duties as assigned
KNOWLEDGE AND SKILLS
- Ability to work independently and as part of a team
- Knowledge of reimbursement and regulatory standards
- Demonstrated experience in prior authorization process
- Basic computer skills
- Innovative, enthusiastic, creative, problem-solving skills
- Ability and desire to work in a remote environment
- Strong organizational skills and attention to detail
EDUCATION/EXPERIENCE
- High school diploma or GED
- Previous medical billing experience required
- Proficient in Microsoft office (Excel, Word, and PowerPoint)
PHYSICAL REQUIREMENTS
- Prolonged periods sitting at a desk and working on a computer
- Must be able to lift up to 15 pounds at times
JOB TYPE: Full-time
HOURLY RATE: $19 - $24 per hour
JOB LOCATION
- Remote
BENEFITS:
- Paid time off
- Work from home
- Company-sponsored medical, dental, and vision insurance
SCHEDULE:
- Monday to Friday
Job Type: Full-time
Pay: $19.00 - $24.00 per hour
Benefits:
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance
Schedule:
- 8 hour shift
- Monday to Friday
Application Question(s):
- How many years have you worked in a fully remote environment?
- What is your work experience with prior authorizations for third-party billing?
Experience:
- Utilization Review: 2 years (Preferred)
Work Location: Remote
