Utilization Review Coordinator: Detail-Driven Admin

Teamswell; Mexico; On-site; PHP 2,821,000 - 4,075,000; Full time

Job summary

Teamswell is seeking a detail-oriented Utilization Review Administrative Coordinator to support our UR department. You will manage admissions communications, route information, and assist with authorization submissions while maintaining accurate records in our systems.

The role requires strong organization, communication, and problem-solving skills, with the ability to adapt in a fast-paced, nearshore outsourcing environment.

Qualifications

• Exceptional 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.
• Strong ownership mentality, taking full responsibility for assigned tasks and deliverables.
• Sound judgment and the ability to recognize when an issue needs to be escalated.
• Professionalism when communicating with facilities, payers, and internal teams.

Responsibilities

• Manage the Authorization email, 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

Learning new systems

Initiative and accountability

Ownership and follow-through

Professional communication

Escalation judgment

Tools

CareOregon portal

OpenPM

Payer portal familiarity

Job description

Teamswell is seeking a detail-oriented Utilization Review Administrative Coordinator to support our UR department. You will manage admissions communications, route information, and assist with authorization submissions while maintaining accurate records in our systems.

The role requires strong organization, communication, and problem-solving skills, with the ability to adapt in a fast-paced, nearshore outsourcing environment.