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Utilization Management Coordinator
JOB SUMMARY
The Utilization Management Coordinator for Value-Based RCM, Inc. (VBRCM) is responsible for proactively engaging payors with the purpose of securing authorizations for patient care.
MAJOR AREAS OF FOCUS
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Prior Authorizations
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Customer Service
RESPONSIBILITIES
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Use, protect, and disclose patient protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
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Exhibit professional behavior and communication skills representative of VBRCM's commitment to superior customer service
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Utilize system tools, dashboards, payer websites, payer portals, etc. in an effort to secure authorizations in a timely manner
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Collaborates with VBRCM leaders on potential cause and effect understandings
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Works as a team player
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Perform other duties as assigned
KNOWLEDGE AND SKILLS
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Ability to work independently and as part of a team
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Knowledge of reimbursement and regulatory standards
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Demonstrated experience in prior authorization process
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Basic computer skills
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Innovative, enthusiastic, creative, problem-solving skills
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Ability and desire to work in a remote environment
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Strong organizational skills and attention to detail
EDUCATION AND EXPERIENCE
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High school diploma or GED
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Previous medical billing experience required
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Proficient in Microsoft office (Excel, Word, and PowerPoint)
JOB LOCATION
Remote
PHYSICAL REQUIREMENTS
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Prolonged periods sitting at a desk and working on a computer
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Must be able to lift up to 15 pounds at times
JOB TYPE
Full-time
HOURLY RATE
$19 - $24 per hour
BENEFITS
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Paid time off
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Work from home
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Company-sponsored medical, dental, and vision insurance
SCHEDULE
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Monday to Friday
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