Utilization Review Assistant- Remote

 Posted 2 hours ago
     
⭐ 2-5 years experience
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AI Summary

Coordinate insurance authorization processes and collaborate with medical staff to manage non-clinical appeals. Monitor financial activities related to the utilization review team and participate in quality improvement initiatives.

This position will assist in the coordination of all activities related to insurance authorizations process for the Patient Access Utilization Review (UR) department. Activities may consist of collaborating with various medical staff and Medical Center personnel, participating in non-clinical appeals process, obtaining status updates on all outstanding appeals, monitoring and tracking of all financial activities related to the UR team. Participates in quality management and continuous quality improvement activities. Perform all job duties and responsibilities in a courteous and customer-focused manner according to the Hurley Family Standards of Behavior.  Works under the direction of the Director of Patient Access or designee who reviews work for effectiveness and compliance with established standards, policies, and procedures.

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