Onsite Utilization Review & Authorization Specialist

UCHealth; Fort Collins (CO); On-site; USD 41,000 - 61,000; Part time

Benefits offered by this job

Performance bonus

Annual merit pay increase

Market reviews

Tuition reimbursement

Job summary

UCHealth's Poudre Valley Hospital in Fort Collins seeks a reimbursement coordination professional to manage authorization workflows for PHP and IOP. The role involves data tracking, ROI handling, and liaison work between payors and the clinical team to streamline insurance coordination.

The position emphasizes critical thinking, timely action, and the ability to operate with minimal supervision in a fast-paced setting onsite. Bachelor's degree required for eligibility.

Qualifications

• Bachelor's degree.

Responsibilities

• Manages and tracks reimbursement for treatment via certification and authorization processes. Completes data tracking to monitor authorization status, complete reports, denials and notes.
• Completes initial authorization for Partial Hospitalization Program (PHP), Intensive Outpatient Program (IOP). Completes concurrent reviews and assists with admission authorizations.
• Ensures appropriate Release of Information (ROI) are in place for all patients for insurance coordination.
• Facilitates communication related to authorization information and challenges/items needed between payors and clinical team members.
• Within scope of job, requires critical thinking skills, decisive judgement and the ability to work with minimal supervision. Must be able to work in a fast-paced environment and take appropriate action.

Education

Bachelor's degree

Job description

UCHealth's Poudre Valley Hospital in Fort Collins seeks a reimbursement coordination professional to manage authorization workflows for PHP and IOP. The role involves data tracking, ROI handling, and liaison work between payors and the clinical team to streamline insurance coordination.

The position emphasizes critical thinking, timely action, and the ability to operate with minimal supervision in a fast-paced setting onsite. Bachelor's degree required for eligibility.