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Description
Title : Utilization Review Assistant
Location : Long Beach
Department : Utilization Management MCH OP
Status : Full-time
Shift : Days, Weekends
Pay Range* : $22.41 / hour - $32.50 / hour
At MemorialCare Health System, we believe in providing extraordinary healthcare to our communities and an exceptional working environment for our employees.
Memorial Care stands for excellence in Healthcare. Across our family of medical centers, we support each one of our bright, talented employees in reaching the highest levels of professional development, contribution, collaboration and accountability.
Whatever your role and whatever expertise you bring, we are dedicated to helping you achieve your full potential in an environment of respect, innovation and teamwork.
Position Summary
The Outpatient Utilization Review Assistant, using decision trees and standard work, is responsible for a broad range of utilization review support services to ensure efficient authorization coordination including registering patients, eligibility verification, scheduling patient visits, obtaining authorizations, preparing billing data through data entry in EMR and 3rd party billing systems, maintaining patient information through chart documentation in EMR, preparing required reports and providing other support as requested.
The Outpatient URA is responsible for selecting appropriate chart documents to submit timely requests to government insurances, private health plans, medical groups and IPAs to secure authorizations and documents activities and authorizations per standard work.
The Outpatient URA is able to navigate and understand payer portals for transmission of authorizations.
Essential Functions and Responsibilities of the Job
Verify eligibility, obtain benefit plan information and secure authorization when necessary. Communcation of authorization received is sent per standard work.
Health and wellness is our passion at MemorialCare that includes taking good care of employees and their dependents. We offer high quality health insurance plan options, so you can select the best choice for your family.
And there’s more...Check out our for more information about our Benefits and Rewards.
Qualifications
Experience
Education
Last updated : 2024-05-09
Full Time
$80k-104k (estimate)
05/08/2024
05/13/2024
millerchildrens.org
Long Beach, CA
<25
The job skills required for Utilization review assistant include Coordination, Pediatric, Collaboration, Scheduling, etc. Having related job skills and expertise will give you an advantage when applying to be an Utilization review assistant. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Utilization review assistant. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Utilization review assistant positions, which can be used as a reference in future career path planning. As an Utilization review assistant, it can be promoted into senior positions as a Clinical Outcomes Manager that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Utilization review assistant. You can explore the career advancement for an Utilization review assistant below and select your interested title to get hiring information.