Introduction
Do you have the career opportunities as a Utilization Review Coordinator you want with your current employer? We have an exciting opportunity for you to join Parallon Other which is part of the nation’s leading provider of healthcare services, HCA Healthcare.
Benefits
Parallon Other, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
- Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
- Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
- Free counseling services and resources for emotional, physical and financial wellbeing
- 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
- Employee Stock Purchase Plan with 10% off HCA Healthcare stock
- Family support through fertility and family building benefits with Progyny and adoption assistance.
- Referral services for child, elder and pet care, home and auto repair, event planning and more
- Consumer discounts through Abenity and Consumer Discounts
- Retirement readiness, rollover assistance services and preferred banking partnerships
- Education assistance (tuition, student loan, certification support, dependent scholarships)
- Colleague recognition program
- Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
- Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.
Learn more about Employee Benefits
Note: Eligibility for benefits may vary by location.
Our teams are a committed, caring group of colleagues. Do you want to work as a Utilization Review Coordinator where your passion for creating positive patient interactions is valued? If you are dedicated to caring for the well-being of others, this could be your next opportunity. We want your knowledge and expertise!
Job Summary and Qualifications
The Utilization Review Coordinator provides clerical support to the Utilization Review Services staff as related to authorization procurement and concurrent denial mitigation.
What you will do in this role:
- Document payor communications in Midas related to authorizations and concurrent denials
- Identify accounts requiring follow up by reviewing reports, such as Tableau accounts requiring follow up and Midas Discharge report- auth / cert follow up
- Fax clinical information as instructed via nH Discharge
- Monitor payor letters received via payor letter retention / Right Fax process following HCA guidelines
- Provide payors with discharge date or discharge summary, as needed
- Answer and record inbound calls from payors, tagging calls with account number using UCCE Call Recording system
- Manage Midas Send Payor Non-response and no authorization documented worklist rules and document appropriately
- Demonstrate knowledge and effective use of multiple applications, systems and resources example, but not limited to: Call Recording, WebEx Teams, Electronic Health Records, Payor portals, Right Fax, Share Point sites and OnBase
- Support Central UR nurses in a clerical function as needed or requested
What qualifications you will need:
- Associates degree preferred.
- Greater than 2 years’ work experience in the healthcare setting required.
“Bricks and mortar do not make a hospital. People do.”- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder
If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our URS Coordinator opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. Unlock the possibilities and apply today!
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.