UR Coordinator - Full-time

Universal Health Services, Inc.; Memphis (TN); On-site; USD 60,000 - 90,000; Full time

Benefits offered by this job

Career development

Excellent benefits

401k with company match

Tuition assistance

Pet Insurance

Job summary

Lakeside Behavioral Health System is seeking an UM Coordinator to evaluate patient records, determine level of care, and liaise with insurance providers to ensure appropriate authorization and reimbursement.

The role requires a Master’s in a healthcare field or RN licensure, with 3–5 years of psychiatric patient care experience and strong analytical and organizational skills. This position is based on-site in Memphis and supports a broad range of psychiatric services.

Qualifications

• Master's prepared healthcare professional or Registered Nurse.
• 3–5 years direct psychiatric patient care experience.
• Knowledge of psychiatric care, utilization review, and insurance reimbursement procedures.

Responsibilities

• Evaluate patient medical records to determine severity of illness and appropriate level of care.
• Serve as liaison for patients and the hospital with insurance companies.
• Negotiate and advocate for patient length of stay and level of care.
• Oversee utilization review activities with other departments to ensure reimbursement for services provided by the hospital.
• Facilitate physician weekly staffing meetings and coordinate with outpatient offices for billing purposes.
• Manage patient benefits and ensure accurate billing and coding across departments.

Skills

Analytical skills

Organizational skills

Verbal and written communication

Education

Master’s degree or RN

Job description

Responsibilities

Lakeside Behavioral Health Systemprovides an excellent opportunity for thoseseekingto be part of a team-oriented and compassionate organization. Our staff tell us that our team is their number one reason for working atLakesideandwe offer competitive compensation, excellent comprehensive benefits, opportunities for advancement, tuitionassistance, and paid time off.

Since 1969, Lakeside has been the premier provider of specialized behavioral health and addictive disease services in the Memphis and Mid-South region. The 365-bed facility is one of the largest free-standing psychiatric hospitalsin the United States.We arelocatedon a serene 37-acre campus in northeast Shelby County, serving as the setting for the treatment for children, adolescents, young adults,adultsand seniors. Lakeside's comprehensive programs treat disorders such as bipolar disorder, psychological trauma, depression and anxiety, mental illness and addictive disease disorders such as alcoholism, drugaddictionand substance abuse.

Job Description

The UM Coordinatorpossessesknowledge of psychiatric clinical diagnosis and the ability to articulate those indicators professionally. The UM Coordinator evaluates patient medical records todetermineseverity of patient's illness anddeterminingthe appropriateness of level of care.Serves asliaisonfor patients andhospitalwith insurance companies. Negotiates and advocates for patient length of stay and level of care. Overseesutilizationreview activities with other departments to ensure reimbursement for services provided by the hospital.The UM Coordinatorfacilitatesphysician weekly staffing meetings and coordinates withphysician'soutpatient offices for the purposes of billing.The UM Coordinator has a working knowledge of all levels of care offered and appropriately manages patient benefits.

This opportunity provides the following:

• Challenging and rewarding work environment
• Career development opportunities within UHS and its 300+ subsidiaries
• Competitive Compensation & Generous Paid Time Off
• Excellent Medical, Dental, Vision and Prescription Drug Plans
• 401k with company match and discounted stock plan
• SoFi Student Loan Refinancing Program
• Tuition savings to continue your nursing education with Chamberlain University
• Pet Insurance
• More information is available on our Benefits Guest Website: benefits.uhsguest.com.

About Universal Health Services (UHS)

Headquartered in King of Prussia, PA, Universal Health Services, Inc. (NYSE: UHS) is one of the nation's largest and most respected providers of hospital and healthcare services. Since our founding in 1979, UHS has grown steadily into a premier Fortune 500 corporation perennially recognized by multiple esteemed national rating entities. Through its subsidiaries, UHS operates inpatient acute care facilities, inpatient behavioral health facilities, outpatient and other facilities, nationwide virtual behavioral health services, an insurance offering, a physician network and various related services with physical locations in the U.S., Puerto Rico, Ireland and United Kingdom. www.uhs.com.

Qualifications

Job Requirements

Education: Masters prepared healthcare professional (Nursing, Counseling, Psychology orSocialWork)required or Registered Nurse.

Experience: A minimum of 3-5 years direct psychiatric patient care experience.

Licensure/Certification: Valid TN RN license, LCSW, or LPC preferred.

Knowledge: Mustpossessknowledge of psychiatric care,utilizationreview, insurance reimbursement procedures, DSM-V, etc. Advanced computer skills necessary.Strong analytical, organizational,verbaland written skillsrequired.

EEO Statement

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.