Utilization Management Authorization Assistant

Reporting to the Director of Social Services, this position keeps records, authorizations and paperwork for the department to ensure the financial needs that relate to the following areas are correct for hospital billing: acute admissions, outpatient services and surgeries. This position is a liaison to outside review agencies for information, coordinating this information to the proper hospital department and investigating if a problem is identified.

Ability to meet all job & physical requirements as outlined in job description or as agreed through a work place accommodation.

QUALIFICATION

• High School graduation or equivalent preferred
• Two years of experience of acute hospital setting in utilization review, case management, business office or related department preferred. Experience in a managed care environment is desirable.
• Strong knowledge of medical terminology preferred.