Utilization Management Coordinator - Remote

Overview

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.

In Short

• Responsible for prior authorizations and customer service.
• Use patient protected health information (PHI) in compliance with HIPAA standards.
• Exhibit professional behavior and communication skills.
• Utilize system tools and payer websites to secure authorizations.
• Collaborate with leaders on understanding cause and effect.
• Work as a team player.
• Perform other assigned duties.

Requirements

• Ability to work independently and as part of a team.
• Knowledge of reimbursement and regulatory standards.
• Experience in prior authorization process.
• Basic computer skills.
• Innovative and problem-solving skills.
• Desire to work in a remote environment.
• Strong organizational skills and attention to detail.
• High school diploma or GED.
• Previous medical billing experience required.
• Proficient in Microsoft Office.

Benefits

• Flexible paid time off.
• Flexible schedule.
• Work from home.
• Company-sponsored medical, dental, and vision insurance.
• Employer-paid short-term and long-term disability, and life insurance.
• 401k retirement plans with company match.