BayMark Health Services
Utilization Review Coordinator (Remote Position)
This job is now closed
Job Description
- Req#: ocBPqfwM
Employer Industry: Healthcare Services
Why consider this job opportunity:
- Salary up to $0,000.00 annualized
- Opportunity for career advancement and growth within the organization
- Excellent benefits package including 401K match, medical, dental, vision insurance, and more
- Company paid Short & Long Term Disability and Basic Life Insurance
- Paid Time Off and Sick Time based off of home location
- Employee Referral Program
What to Expect (Job Responsibilities):
- Conduct utilization reviews to ensure compliance with regulations and payer requirements
- Liaise with third-party payers, managed care companies, and billing company for authorization and communication
- Complete utilization reviews for various levels of care
- Communicate denials or potential denials with the treatment team for discharge planning
- Participate in performance improvement and quality assurance initiatives related to documentation and payer initiatives
What is Required (Qualifications):
- High School diploma or equivalent
- 3+ years' experience in a healthcare setting
- Must pass State of Florida criminal background and driving record checks
- Knowledge of managed care, pre-certification, concurrent reviews, medical/psychiatric diagnoses, medications, and insurance payment practices
- Active participation in facility treatment team meetings
How to Stand Out (Preferred Qualifications):
- 0-2 years of experience as an Rx Technician or Customer Service Representative in a healthcare-related service
#HealthcareServices #UtilizationReview #CareerOpportunity #CompetitivePay #BenefitsPackage
We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately. We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.About the company
This is an example page. It’s different from a blog post because it will stay in one place and will show up in your site navigation (in most themes). Most people start with an About page that introduces them to potential site visitors. It might say som...
Notice
Talentify is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.
Talentify provides reasonable accommodations to qualified applicants with disabilities, including disabled veterans. Request assistance at accessibility@talentify.io or 407-000-0000.
Federal law requires every new hire to complete Form I-9 and present proof of identity and U.S. work eligibility.
An Automated Employment Decision Tool (AEDT) will score your job-related skills and responses. Bias-audit & data-use details: www.talentify.io/bias-audit-report. NYC applicants may request an alternative process or accommodation at aedt@talentify.io or 407-000-0000.