Utilization Management Coordinator

Porter-Starke Services, Inc.; Valparaiso (IN); On-site; USD 45,000 - 65,000; Full time

Job summary

A leading healthcare provider in Valparaiso seeks a Utilization Management Coordinator to manage pre-certification processes and assist with inpatient discharges. This entry-level role offers competitive wages, 401K matching, and various employee benefits, providing a solid start in the healthcare management field. The ideal candidate should possess a high school diploma and basic office administration experience, along with strong interpersonal and problem-solving skills.

Benefits

401K w/ 20% company matching

11 paid holidays

Generous PTO

Employee discounts (YMCA)

Tuition assistance up to $5250 annually

Loan repayments up to $200/month

Casual Fridays

Company paid life insurance policy

Employee Assistance Program

Qualifications

• Experience in office administration preferred.
• General knowledge of utilization management for adult inpatient facilities.
• Ability to present information to insurance companies for authorization.

Responsibilities

• Coordinates pre-certification and authorization for inpatient admissions.
• Assists clients in discharge procedures and follows up with insurance.
• Processes prior authorizations and manages claims-related inquiries.

Skills

Interpersonal communication

Problem-solving

Organization

Education

High School Diploma or GED

Associates Degree in related area preferred

Job description

Join to apply for the Utilization Management Coordinator role at Porter-Starke Services, Inc.

2 weeks ago Be among the first 25 applicants

Join to apply for the Utilization Management Coordinator role at Porter-Starke Services, Inc.

Get AI-powered advice on this job and more exclusive features.

Position Summary

Manages, coordinates and performs duties related to pre-certification and authorization for inpatient admission at the Inpatient Care Center. Assists in the discharge process for clients transitionining from an inpatient center.

• Competitive wages
• 401K w/ 20% company matching
• 11 paid holidays
• Competitive wages
• Generous PTO
• Employee discounts (YMCA)
• Employee referral program
• HSA/FSA accounts
• Medical, dental, and vision insurance
• Tuition assistance up to $5250 annually
• Loan repayments up to $200/month
• Casual Fridays
• Company paid life insurance policy
• Company paid long term disability
• Optional insurances (short term disability)
• Employee recognition events
• Employee Assistance Program
• Free health screenings
  
  

Position Summary

Manages, coordinates and performs duties related to pre-certification and authorization for inpatient admission at the Inpatient Care Center. Assists in the discharge process for clients transitionining from an inpatient center.

Benefits

• Competitive wages
• 401K w/ 20% company matching
• 11 paid holidays
• Competitive wages
• Generous PTO
• Employee discounts (YMCA)
• Employee referral program
• HSA/FSA accounts
• Medical, dental, and vision insurance
• Tuition assistance up to $5250 annually
• Loan repayments up to $200/month
• Casual Fridays
• Company paid life insurance policy
• Company paid long term disability
• Optional insurances (short term disability)
• Employee recognition events
• Employee Assistance Program
• Free health screenings
  
  

Job Duties

• Contacts managed care companies for pre-certification of services and validates authorization as necessary.
• Contacts insurance companies for benefit information.
• Processes prior authorizations to Medicaid.
• Researches claims denied due to no authorization.
• Confirm insurance information and census for billing purposes.
• Initiate and follow-up on inpatient appeals process.
• Assist in discharge procedures, including providing discharge information to insurance companies, scheduling of appointments and monitoring PCP follow-up.
• Maintain a working knowledge of Medicare and Medicaid authorization requirements.
• Attend multi-disciplinary team meetings to request additional authorization and participate in discharge planning.
• Completes electronic medical record documentation as required.
• Identify system problems that influence UM flow of operations and engages in the problem-solving process.
• Particpates in the development and implementation of other projects as assigned by the Director of Acute Intensive Services.
• Assist in filing of Emergency Detention Orders, Notice of Release and court documents to establish authorized lengths of stay.
• Train staff on related UM procedures including, but not limited to, insurance, Medicaid, and PE eligibility.
• Reviews and documents as needed the physical and mental condition of clients to request authorization from insurance companies.
• Attends staffing with agency physicians to identify insurance or financial issues related to the inpatient stay.
• Conducts record searches as requested by the treatment team or physician to obtain a history of medications and responses.
• Interacts with physicians, managed care, and pharmacy to assist patients with obtaining medications.
• Other duties as assigned.
  
  

Competencies

• General knowledge of office procedures and operations specifically related to insurance and utilization management for an adult inpatient facility.
• Understand emergency detention statues.
• Typing and basic computer usage.
• Present information to insurance companies for prior authorization.
• Interfacing and referring to internal and external contacts.
• Interpersonal communication, problem-solving and organization.
• Signs and symptoms of psychiatric disorders in adults.
  
  

Education & Experience

• High School Diploma or GED required.
• Associates Degree in related are preferred.
• Office administration experience is preferred.
  
  

Learn more about Porter-Starke Services, Inc. and Marram Health Center by visiting our websites www.porterstarke.org and https://www.marramhealth.org/.

Seniority level

• Seniority level

  Entry level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Project Management and Information Technology

• Industries

  Hospitals and Health Care

Referrals increase your chances of interviewing at Porter-Starke Services, Inc. by 2x

Sign in to set job alerts for “Management Coordinator” roles.

College of Health and Human Services Administrative Assistant (Administrative Assistant)

Merrillville, IN $20.50-$21.00 2 months ago

Merrillville, IN $44,560.00-$61,270.00 2 days ago

We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.