Remote Utilization Management Coordinator

CorroHealth, Inc.; Northern (KY); Hybrid; USD 55,000 - 75,000; Full time

Benefits offered by this job

Remote within US ONLY

Equipment provided

Medical/Dental/Vision Insurance

401k matching (up to 2%)

PTO: 80 hours accrued, annually 9 paid

Life Insurance

Short/Long term disability options

Tuition reimbursement

Professional growth and more!

Job summary

CorroHealth, Inc. is seeking a remote Utilization Management Coordinator to support US-based clients. This role handles the end-to-end authorization process, from initial notification to determination, while maintaining compliant records in EMR and payer portals.

Responsibilities include verifying eligibility and benefits, liaising with hospital staff and payers, and ensuring timely responses. Strong communication and healthcare terminology knowledge are essential in a fast-paced environment.

Qualifications

• High School Diploma or equivalent.
• Associate degree in healthcare administration or equivalent preferred.
• 2 years of hospital billing/follow-up/authorization experience.
• Experience with managed care contracts and EMR systems (Epic preferred).
• Strong communication and organizational skills.

Responsibilities

• Manage the Authorization process end to end from notification to determination and discharge.
• Maintain documentation in the EMR, internal systems, and Health Payer portals.
• Verify patient eligibility and benefits.
• Liaise between hospital staff and Health Payer for information sharing.
• Review timely filing guidelines for utilization management.
• Track and follow up with payers to ensure timely responses.
• Identify issues causing delays or denials and elevate as needed.
• Manage workload with timely follow up and accurate record keeping.
• Maintain HIPAA compliance and other healthcare regulations.

Skills

Healthcare administration

Billing & follow-up

Communication

Customer issue resolution

Education

High School Diploma or equivalent

Associate degree in healthcare administration

Tools

Epic EMR

MS Office

Web systems

Job description

CorroHealth, Inc. is seeking a remote Utilization Management Coordinator to support US-based clients. This role handles the end-to-end authorization process, from initial notification to determination, while maintaining compliant records in EMR and payer portals.

Responsibilities include verifying eligibility and benefits, liaising with hospital staff and payers, and ensuring timely responses. Strong communication and healthcare terminology knowledge are essential in a fast-paced environment.