Pyramid Healthcare
Utilization Review Coordinator (REMOTE)
This job is now closed
Job Description
- Req#: UTILI010342
Employer Industry: Healthcare Services
Why Consider this Job Opportunity:
- Medical, Dental, and Vision Insurance
- Flexible Spending Accounts
- Life Insurance
- Paid Time Off
- 401(k) with Company Match
- Tuition Reimbursement
What to Expect (Job Responsibilities):
- Perform admission, continued stay, and discharge reviews on all managed care clients
- Maintain positive relationships with referral sources and insurance companies
- Track admissions, continued stay, and discharge PCPC requirements for county referrals
- Attend clinical staffing to obtain information for client reviews
- Work directly with Billing Department to reduce uncovered days of funding
What is Required (Qualifications):
- Must be available and punctual for scheduled work shifts
- Minimum educational requirement: Associates degree
- Knowledge of local, state, and federal regulations
- Knowledge of medical terminology, appeal and denial process, composition of medical records
- Knowledge of data entry (primarily Excel) and mathematics
How to Stand Out (Preferred Qualifications):
- Experience in Utilization Review or related position in a healthcare setting
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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
Welcome to Pyramid Healthcare Rehabilitation Center. We provide treatment for adults and teens suffering from addiction or substance abuse, as well as individuals with mental health disorders. Our locations in western, central, and eastern Pennsylvania allow us to provide comprehensive care across the entire state to people with behavioral health issues.
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