Utilization Review Admin Coordinator - Detail-Driven

Teamswell; Misamis Oriental; On-site; PHP 246,000 - 379,000; Full time

Job summary

Teamswell is seeking a Utilization Review Administrative Coordinator to support its Utilization Review department. The role focuses on managing admissions and authorization communications, ensuring accurate documentation, and submitting authorizations through payer portals.

You will maintain precise authorization records in OpenPM and communicate with treatment facilities, clinical teams, payers, and internal staff.

Qualifications

• Attention to detail and accuracy.
• Strong organizational and time-management skills.
• Excellent written and verbal communication.
• Strong problem-solving and critical-thinking abilities.
• Ability to learn new systems, payer requirements, and processes quickly.
• Initiative, accountability, and consistent follow-through.
• Sound judgment and the ability to escalate when needed.
• Professionalism when communicating with facilities, payers, and internal teams.

Responsibilities

• Manage the Authorization email and assign new intakes to the appropriate team member, and identify discharged, step-downs and changes in levels of care
• Identify insurance or policy changes that could affect authorization or reimbursement and communicate them to the appropriate team member.
• Recognize urgent or time-sensitive authorization matters and ensure they are appropriately addressed.
• Submit assigned CareOregon authorization requests through the payer portal.
• Accurately enter authorization information into OpenPM.
• Review information for accuracy and identify discrepancies, missing documentation, or incomplete information.
• Follow assigned items through completion and ensure appropriate documentation is maintained.
• Communicate clearly and professionally with treatment facilities, clinical teams, payers, and internal team members.
• Learn payer requirements, authorization processes, and behavioral health levels of care.
• Provide additional administrative support to the Utilization Review team as needed.

Skills

Attention to detail

Organizational skills

Written and verbal communication

Problem-solving

Fast-paced environment adaptability

Learn new systems

Tools

OpenPM

EHR systems

Payer portal

Job description

Teamswell is seeking a Utilization Review Administrative Coordinator to support its Utilization Review department. The role focuses on managing admissions and authorization communications, ensuring accurate documentation, and submitting authorizations through payer portals.

You will maintain precise authorization records in OpenPM and communicate with treatment facilities, clinical teams, payers, and internal staff.