Utilization Review Administrative Coordinator
Teamswell
Descripcion del puesto
About the role
Teamswell is seeking a highly organized Utilization Review Administrative Coordinator to join its fast‑growing Utilization Review department. The role supports the team by handling admissions and authorization communications, ensuring accurate documentation, and maintaining authorization records.
Key responsibilities
- Manage the Authorization email inbox, assign new intakes, and track discharged, step‑down, and level‑of‑care changes.
- Identify insurance or policy changes that could affect authorizations or reimbursements and notify the appropriate team member.
- Prioritize urgent or time‑sensitive authorization matters and ensure timely resolution.
- Submit CareOregon authorization requests through the payer portal.
- Enter authorization data accurately into OpenPM and review for discrepancies or missing documentation.
- Follow each assignment through completion, maintaining complete and organized records.
- Communicate professionally with treatment facilities, clinical teams, payers, and internal staff.
- Learn payer requirements, authorization processes, and behavioral‑health levels of care.
- Provide additional administrative support to the Utilization Review team as needed.
Required profile
- Exceptional attention to detail and accuracy.
- Strong organizational and time‑management abilities.
- Excellent written and verbal communication skills.
- Effective problem‑solving and critical‑thinking capabilities.
Required skills
- CareOregon payer portal
- OpenPM system
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Publicado hace 2 semanas
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