JOB DUTIES. Reviews accounts as well as communicates with insurance companies to get appeal determinations. Responds to telephone calls and messages from patients, insurance companies and staff courteously and promptly with an emphasis on effective resolution. Reviews accounts to see if payment has been received and keep documentation log. Create and maintain department spreadsheets. Demonstrates knowledge of organizational policies regarding ins...
Responsibilities. Canyon Ridge Hospital is currently seeking a compassionate and talented. Utilization Coordinator. to join our team. At Canyon Ridge Hospital we understand that not all wounds are visible. Depression, anxiety, trauma, PTSD, addiction, and suicide affects millions of individuals and families. Our mission is to be a leader in behavioral healthcare, dedicated to excellent service in the community. Canyon Ridge Hospital has serviced ...
Job Summary and Responsibilities. This position is work from home. within California. . In this role, you will execute all aspects of the referral process and promote the quality and cost effectiveness of medical care through strict adherence to all Utilization Management (UM) Policies and procedures promptly, efficiently and accurately. The UM Coordinator collaborates with clinical team members to evaluate the potential over and under-utilizatio...
We are seeking an UM Coordinator to join the team. This is a temp to hire position. Full details below. Location. Montebello, CA. Schedule. Full Time - On Site from 8am - 5pm. Pay. $23 - $26 an hour- Depending on Experience. Job Type. 3 Month Temporary Assignment. . Job Overview. This position is responsible for providing support to the Medical Management department to ensure timeliness of outpatient or inpatient. referral/authorization. processi...
We are seeking an UM Coordinator to join the team. This is a temp to hire position. Full details below. Location. Montebello, CA. Schedule. Full Time - On Site from 8am - 5pm. Pay. $23 - $26 an hour- Depending on Experience. Job Type. 3 Month Temporary Assignment. . Job Overview. This position is responsible for providing support to the Medical Management department to ensure timeliness of outpatient or inpatient. referral/authorization. processi...
About The Role. The UM Coordinator is responsible for coordinating all aspects of the prior authorization process, including member eligibility and benefit verification, gathering necessary clinical information from electronic medical record, and timely communication with members, providers and facility staff. Candidates should possess knowledge of third-party reimbursement regulations and medical terminology. Success in this role will require st...
Position Summary. The Utilization Management (UM) Coordinator is responsible for coordinating prior authorization requests, processing referrals, documenting case activity, and supporting timely utilization review activities using the. EZCAP Authorization System. The coordinator ensures compliance with CMS, DHCS, NCQA, and contracted health plan requirements while maintaining excellent customer service to providers, members, and internal departme...
