Utilization Review Coordinator

Job Summary

To support the Utilization Review function, the part-time Utilization Review Coordinator will manage the authorization process by coordinating documentation, tracking authorizations, and assisting Utilization Review Specialists, all while working remotely.

Key responsibilities

• Monitor and manage authorization work queues, tracking pending, approved, denied, and expiring authorizations
• Coordinate the timely collection and submission of clinical documentation required by payers
• Support Utilization Review Specialists with documentation preparation for initial and concurrent authorization reviews

Required qualifications

• High school diploma or equivalent required; associate or bachelor's degree in a related field preferred
• Previous experience in behavioral health, healthcare administration, or utilization management preferred
• Familiarity with commercial insurance, Medicaid, Medicare, or managed-care organizations preferred
• Experience with electronic medical records and healthcare revenue-cycle systems preferred
• Knowledge of behavioral health levels of care, including residential and outpatient services, preferred