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Coordinator, Utilization Management
CorroHealth. Manage the Authorization process end to end, from initial notification, entry and submission of required information, follow up through determination and discharge .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in managing the authorization process, including eligibility verification, documentation in EMR systems, and compliance with healthcare regulations. Proficient in communication and organization to effectively liaise between hospital staff and health payers.
Highest-signal resume keywords
Authorization ManagementEMR Systems ExperienceMedical Terminology KnowledgeManaged Care ContractsCustomer Support Management
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Authorization Process ManagementEligibility VerificationDocumentation in EMRMedical TerminologyInsurance ProcessesTimely Filing GuidelinesRecord KeepingMulti-taskingClient Issue ResolutionHealthcare Regulations Compliance
Soft Skills
Excellent CommunicationStrong Organization SkillsStrong Multi-tasking Skills
Tools & Technologies
CorroHealth SystemHealth Payer PortalsEpic EMRMS OfficeWeb Systems
Industry Keywords
Healthcare AdministrationHospital BillingUtilization ManagementManaged CareHIPAA Compliance
About the role
Key responsibilities & impact- Manage the Authorization process end to end, from initial notification, entry and submission of required information, follow up through determination and discharge
- Maintain detailed documentation in the EMR system, internal CorroHealth system, and Health Payer portals
- Verify correct eligibility and benefits for patients
- Act as a liaison between hospital staff and Health Payers to facilitate information sharing and process completion within allocated timeframes
- Review timely filing guidelines regarding the utilization management process
- Track and follow up with payers on pending authorizations
- Contact payers regarding status, decisions, and processing hurdles
- Identify and escalate issues that may result in delays or denials
- Manage assigned workload through timely follow-up and accurate record keeping
- Maintain compliance with HIPAA and other healthcare regulations
Requirements
What you’ll need- High School Diploma or equivalent
- Associate degree in healthcare administration or equivalent preferred
- 2 years of experience in hospital related billing/follow-up/healthcare setting/authorization field
- Knowledge of/experience working with managed care contracts
- Experience working with customer support/client issue resolution management
- Strong understanding of medical terminology and insurance processes
- Experience working in EMR systems, Epic preferred
- Excellent communication and organization skills
- Strong multi-tasking skills, working in a face paced environment
- Proficiency with MS Office and web systems
- Required availability: 8:00 AM to 5:00 PM EST, Tuesday - Saturday, OR Sunday - Thursday
- Some holiday coverage required
- Ability to perform work at a computer terminal for 6-8 hours a day
- Ability to lift and move material weighing up to 20 lbs. infrequently
Benefits
Comp & perks- Competitive hourly rate
- Remote within US ONLY
- Equipment provided
- Medical/Dental/Vision Insurance
- 401k matching program
- PTO: 80 hours accrued, annually
- 9 paid annual holidays
- Life Insurance
- Short/Long term disability options
- Tuition reimbursement
- Professional growth and more!