Utilization Data Coordinator - Hospital Analytics

Temple Health; Philadelphia (Philadelphia County); Presencial; USD 52.000 - 63.000; Tempo integral

Resumo da vaga

Temple Health in Philadelphia, PA is seeking an Utilization Management Data Coord to support the Utilization Management team in processing authorizations and denials for hospitalized patients. This full-time, day-shift role requires collaboration with nurses, physician advisors, and hospital staff to ensure timely and accurate approvals.

The position emphasizes daily communication with providers and internal departments, attention to detail, and adherence to insurance requirements.

Qualificações

• 1 year of data management experience required.
• 1 year of utilization management, pre-certifications or denials experience required.
• General experience in hospital or managed care utilization review and insurance requirements is required.

Responsabilidades

• Support the Utilization Management team of nurses and physician advisors to ensure timely authorizations and denials for hospitalized patients.
• Communicate daily with providers and internal departments to ensure accurate authorization of services.

Conhecimentos

Data Management

Utilization Management

Pre-Certifications/Denials

Formação

High School Diploma or Equivalent

Bachelor's Degree Preferred

Combination of education and experience considered in lieu of degree

Descrição da vaga

Temple Health in Philadelphia, PA is seeking an Utilization Management Data Coord to support the Utilization Management team in processing authorizations and denials for hospitalized patients. This full-time, day-shift role requires collaboration with nurses, physician advisors, and hospital staff to ensure timely and accurate approvals.

The position emphasizes daily communication with providers and internal departments, attention to detail, and adherence to insurance requirements.