Remote Utilization Management Coordinator

Santa Barbara Cottage Hospital; United States; Remote; USD 42,000 - 60,000; Full time

Benefits offered by this job

Remote within US

Equipment provided

Medical/Dental/Vision Insurance

401k matching

PTO: 80 hours accrued, annually

9 paid annual holidays

Life Insurance

Short/Long term disability options

Tuition reimbursement

Professional growth and more!

Job summary

CorroHealth is seeking a Coordinator, Utilization Management for a remote US position. You will manage the authorization process end to end and maintain documentation across EMR systems, payer portals, and internal records.

The role requires 2 years in hospital billing/follow-up, knowledge of managed care contracts, and strong communication. Benefits include medical/dental/vision, 401k matching, PTO, holidays, life insurance, and tuition reimbursement.

Qualifications

• High School Diploma or equivalent; Associate degree in healthcare administration or equivalent preferred.
• 2 years of experience in hospital related billing/follow-up/healthcare setting/authorization field.
• Knowledge of/experience working with managed care contracts.
• Experience in customer support/client issue resolution management.
• Strong understanding of medical terminology and insurance processes.
• Experience working in EMR systems, Epic preferred.
• Excellent communication and organization skills.
• Strong multitasking in a fast-paced environment.
• Proficiency with MS Office and web systems.

Responsibilities

• Manage the Authorization process end to end, from initial notification through to determination and discharge.
• Maintain detailed documentation in the EMR, CorroHealth system, and Health Payer portals.
• Verify correct eligibility and benefits for patients.
• Serve as liaison between hospital staff and Health Payer to facilitate information sharing and timely processing.
• Review timely filing guidelines for the utilization management process.
• Track and follow up with payers on pending authorizations to ensure timely responses.
• Contact payers to elicit further information and resolve processing hurdles.
• Identify and elevate issues causing delays or denials.
• Manage workload with timely follow up and accurate record keeping.
• Maintain HIPAA compliance and other healthcare regulations.

Skills

Medical terminology

EMR systems

MS Office

Communication

Organization

Epic experience

Education

High School Diploma or equivalent

Associate degree preferred

Tools

Epic EMR

Job description

CorroHealth is seeking a Coordinator, Utilization Management for a remote US position. You will manage the authorization process end to end and maintain documentation across EMR systems, payer portals, and internal records.

The role requires 2 years in hospital billing/follow-up, knowledge of managed care contracts, and strong communication. Benefits include medical/dental/vision, 401k matching, PTO, holidays, life insurance, and tuition reimbursement.