VALUE-BASED RCM - Utilization Management Coordinator

VALUE-BASED RCM

JOB SUMMARY

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.

MAJOR AREAS OF FOCUS

• Prior Authorizations
• Customer Service

RESPONSIBILITIES

• Use, protect, and disclose patient protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
• Exhibit professional behavior and communication skills representative of VBRCM's commitment to superior customer service
• Utilize system tools, dashboards, payer websites, payer portals, etc. in an effort to secure authorizations in a timely manner
• Collaborates with VBRCM leaders on potential cause and effect understandings
• Works as a team player
• Perform other duties as assigned

KNOWLEDGE AND SKILLS

• Ability to work independently and as part of a team
• Knowledge of reimbursement and regulatory standards
• Demonstrated experience in prior authorization process
• Basic computer skills
• Innovative, enthusiastic, creative, problem-solving skills
• Ability and desire to work in a remote environment
• Strong organizational skills and attention to detail

EDUCATION/EXPERIENCE

• High school diploma or GED
• Previous medical billing experience required
• Proficient in Microsoft office (Excel, Word, and PowerPoint)

PHYSICAL REQUIREMENTS

• Prolonged periods sitting at a desk and working on a computer
• Must be able to lift up to 15 pounds at times

JOB TYPE: Full-time

HOURLY RATE: $19 - $24 per hour

JOB LOCATION

• Remote

BENEFITS

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

SCHEDULE

• Monday to Friday