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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 facilitate effective liaison 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 VerificationMedical TerminologyHealthcare Regulations ComplianceRecord Keeping
Soft Skills
Excellent Communication SkillsStrong Organization SkillsMulti-Tasking Skills
Tools & Technologies
EMR SystemsEpicMS OfficeHealth Payer Portals
Certifications & Qualifications
High School DiplomaAssociate Degree in Healthcare Administration
Industry Keywords
Healthcare BillingUtilization ManagementTimely Filing GuidelinesClient Issue Resolution
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 Payer to facilitate information sharing and successful process completion within the allocated timeframe
- Review timely filing guidelines regarding the utilization management process
- Track and follow up with payers on pending authorizations to ensure timely responses
- Contact payers to obtain further information regarding status and decisions and remove processing hurdles
- Identify and escalate issues that may result in delays or denials
- Manage assigned workload of accounts 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 schedule: 8:00 AM to 5:00 PM EST either Sunday - Thursday or Tuesday - Saturday; some holiday coverage required
- This position is remote within US only
Benefits
Comp & perks- Competitive hourly salary
- Equipment provided
- Medical/Dental/Vision Insurance
- 401k matching (up to 2%)
- PTO: 80 hours accrued, annually
- 9 paid annual holidays
- Life Insurance
- Short/Long term disability options
- Tuition reimbursement
- Professional growth and more!