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Utilization Management Referral Coordinator Dhmp Jobs

Consultant, Executive Referral Management
By Mercedes-Benz USA At Atlanta, GA, United States
Support and mentor Executive Referral Managers. Provide training for new staff.
Administration: General Knowledge of administrative procedures, process/project development, and system procedures.
Business - General: General Knowledge of fundamental business practices and concepts that impact the success and profitability of the organization.
Must be able to work flexible hours/work schedule
Work weekends & Holidays when required
Utilization Management Coordinator Jobs
By Ascension At , Austin, 78736 From $22.28 an hour
Note: Required professional licensure/certification can be used in lieu of education OR experience, if applicable
2+ years of Health Insurance Utilization Management coordination experience
Customer service expert with excellent organizational and time-management skills
Department: Ascension Care Management Insurance
Responsible for accuracy and completeness of precertification and referral information within the database in accordance with all compliance and regulatory requirements.
Computer savvy and data entry skills
Office Specialist/Referral Coordinator - Weight Management
By OhioHealth At ,

We are more than a health system. We are a belief system.

Admissions Utilization Management Coordinator, Crisis
By Monarch NC At , Charlotte
Demonstrate knowledge of emergency procedures and assist in crisis situations.
Complete all other relevant responsibilities as assigned by the supervisor.
Enter screening and referral information in the electronic health record system.
Completes record audits for adherence to Service Definitions, UM Guidelines, DHSR and Accrediting bodies.
Participate in on call and afterhours coverage, including weekends and holidays as needed.
Driving and travel may be required.
Utilization Management Administration Coordinator
By Humana At ,
Experience with Utilization Review and/or Prior Authorization, preferably within a managed care organization
1 or more years of Administrative support, Healthcare, or telephonic Customer Service experience
Excellent verbal and written communication skills
Must be passionate about contributing to an organization focused on continuously improving consumer experiences
CGX experience with building cases and generating letters
Proficient and/or experience with medical terminology and/or ICD-10 codes
Utilization Management Coordinator I
By Florida Cancer Specialists & Research Institute At ,
Works closely with management team in business office to ensure all internal and external customer service issues are addressed. -
Obtain authorizations for all internal services from patient’s PCP and/or managed care companies. -
Must have excellent interpersonal and communication skills, be very detail-oriented and a self-starter.
Verify Medicaid patient eligibility status for established patients. -
Obtain authorizations for Medipass patients. -
Review daily schedules for potential pitfalls of unusual patient insurance coverage limitations or restrictions.
Utilization Management Administration Coordinator
By Humana At , , Ky
Experience with Utilization Review and/or Prior Authorization, preferably within a managed care organization
1 or more years of Administrative support, Healthcare, or telephonic Customer Service experience
Excellent verbal and written communication skills
Must be passionate about contributing to an organization focused on continuously improving consumer experiences
CGX experience with building cases and generating letters
Proficient and/or experience with medical terminology and/or ICD-10 codes
Utilization Management Support Coordinator, Dentaquest (Remote)
By DentaQuest At United States
Communicate to management ways to improve processes and productivity of company.
Investigate and manage orthodontic reimbursement inquiries with Client/Provider Engagement, Claims, and Customer Service departments.
Coordinate, manage and distribute incoming faxes to facilitate distribution to appropriate parties within the organization.
Organize, coordinate, and communicate Outpatient Facility Requests to appropriate State and/or Managed Care Organizations.
1 year experience in clerical setting
Knowledge of general computer software.
Utilization Management Coordinator Jobs
By University Hospital, Newark NJ At , Newark, 07103, Nj

Responsibilities: The primary purpose of the Utilization Management Coordinator (UMC) position is to coordinate the patient’s progress through the system. He/she collaborates with physicians and ...

Medical Utilization Management Coordinator: Department Of Corrections - #001987
By Dept of Corr - Central Admin At , Richmond, Va $125,000 - $166,000 a year

Email: Applications submitted via email will not be accepted

Utilization Management Coordinator Jobs
By Cedar Hills Hospital At Portland, OR, United States

Weekends required

Utilization Management Coordinator Jobs
By HCSC At , Albuquerque, Nm
3 years of clinical experience in a physician office, hospital/surgical setting or health care insurance company.
Knowledge of medical terminology and procedures.
Come join us and be part of a purpose driven company who is invested in your future!
**THIS IS A TELECOMMUTER ROLE FOR THE ALBUQUERQUE, NM. OFFICE**
Registered Nurse (RN) with valid, current, unrestricted license in the state of operations (New Mexico).
Sponsorship will not be provided for this position.
Utilization Management Coordinator Jobs
By Florida Cancer Specialists & Research Institute At ,
Works closely with management team in business office to ensure all internal and external customer service issues are addressed. -
Obtain authorizations for all internal services from patient’s PCP and/or managed care companies. -
Must have excellent interpersonal and communication skills, be very detail-oriented and a self-starter.
Verify Medicaid patient eligibility status for established patients. -
Obtain authorizations for Medipass patients. -
Review daily schedules for potential pitfalls of unusual patient insurance coverage limitations or restrictions.
Utilization Management Referral Coordinator Dhmp
By Denver Health At , Denver, 80204, Co $19.23 - $25.96 an hour
Prefer experience with Medical Management platforms used to document care coordination services.
Ensure timely and accurate response to all UM requests, including alignment with plan benefits structure, enrollment policies and compliance requirements (10%)
Ability to use a variety of software programs including Microsoft Office, Electronic Medical Records, claims payer and medical management systems.
1-3 years Two years customer service or clerical/administrative experience Required
Ability to communicate effectively, both in writing and verbally, has superior decision-making and problem-solving skills.
Experience with windows-based computer programs and ability to use computer for data analysis and data display required.