Utilization Review Coordinator

Northwest Texas Healthcare system; Mountain City (TN); On-site; USD 45,000 - 62,000; Full time

Benefits offered by this job

Competitive compensation and PTO

Excellent Medical, Dental, Vision and

401(K) with company match and stock

SoFi Student Loan Refinancing Program

Career development opportunities

Free meals

Attendance incentives

Shift differential pay

Tuition reimbursement

Job summary

Mountain Youth Academy in Mountain City, Tennessee seeks a meticulous Utilization Review Coordinator to ensure continuous insurance coverage for its young patients. You will coordinate insurance reviews, verify eligibility, and support daily admission/discharge utilization processes within a fast-paced healthcare setting.

The role requires strong communication, organizational skills, and proficiency with Microsoft Office. A high school diploma or GED is required; a Bachelor’s degree is preferred.

Qualifications

• High school diploma or GED.
• Bachelor’s Degree preferred.
• 1+ year of related administrative or healthcare experience.
• Strong computer proficiency, including Microsoft Office (Excel and Word).

Responsibilities

• Submit initial and concurrent insurance reviews to ensure continued authorization and coverage.
• Complete insurance eligibility verifications twice monthly.
• Coordinate daily and weekly admission and discharge utilization processes.
• Maintain utilization management databases and spreadsheets.
• Prepare weekly, monthly, and quarterly utilization reports, including reports for the Utilization Management Committee.
• Communicate effectively with insurance representatives, referral sources, and internal leadership.
• Participate in monthly Zoom meetings and other department meetings.
• Perform additional duties as assigned.

Skills

Verbal communication

Written communication

Customer service

Organizational skills

Multitasking

Portal navigation

Education

High school diploma or GED

Bachelor’s Degree preferred

Tools

Microsoft Office

Job description

Responsibilities

Now Hiring: Utilization Review Coordinator

Position Summary

Mountain Youth Academy is nestled in Mountain City, Tennessee which is a short commute from Johnson City, TN, Boone, NC, and Abingdon, VA. We are a 120-bed residential treatment facility and assist in the evaluation, diagnosis, and treatment of a wide range of behavioral health issues for our young adolescent patients. We are seeking a meticulous and compassionate Utilization Review Coordinator to join our team.We are seeking a detail-oriented and organized Utilization Review Coordinatorto join our Business Office team. This position plays a vital role in ensuring our students receive uninterrupted insurance coverage by coordinating timely insurance reviews, maintaining utilization management records, and serving as a liaison between insurance providers, referral sources, and internal departments.

The ideal candidate is highly organized, possesses excellent communication and customer service skills, and thrives in a fast-paced healthcare environment.

What You’ll Do:

• Submit initial and concurrent insurance reviews to ensure continued authorization and coverage.
• Complete insurance eligibility verifications twice monthly.
• Coordinate daily and weekly admission and discharge utilization processes.
• Maintain utilization management databases and spreadsheets.
• Prepare weekly, monthly, and quarterly utilization reports, including reports for the Utilization Management Committee.
• Communicate effectively with insurance representatives, referral sources, and internal leadership.
• Participate in monthly Zoom meetings and other department meetings.
• Perform additional duties as assigned.

Qualifications

Minimum Experience and/or Training:

• High school diploma or GED.
• Bachelor’s Degree preferred.
• 1+ year(s) of related administrative or healthcare experience.
• Strong computer proficiency, including Microsoft Office (Excel and Word).
• Excellent verbal and written communication skills.
• Strong customer service and organizational skills.
• Experience navigating multiple web-based portals.
• Knowledge of insurance authorization processes is preferred.

Why Join Mountain Youth Academy?

At Mountain Youth Academy, every team member plays an important role in helping young people receive the care they need. We foster a collaborative environment built on professionalism, accountability, teamwork, and exceptional service. If you’re looking for a meaningful career where your work directly supports patient care and organizational success, we’d love to hear from you.

Physical Requirements

This position is primarily sedentary and requires prolonged sitting and frequent keyboard use. Occasional standing and walking are required.

Additional Benefit:

• Challenging and rewarding work environment
• Competitive Compensation & Generous Paid Time Off
• Excellent Medical, Dental, Vision and Prescription Drug Plans
• 401(K) with company match and discounted stock plan
• SoFi Student Loan Refinancing Program
• Career development opportunities within UHS and its 300+ Subsidiaries!
• Free Meals
• Attendance Incentives
• Shift Differential Pay
• Tuition Reimbursement

For a full preview of benefits, please visitUHS Benefits Service Center (ehr.com)

About Universal Health Services

One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (NYSE: UHS) has built an impressive record of achievement and performance, growing since its inception into a Fortune 500 corporation. Headquartered in King of Prussia, PA, UHS has 99,000 employees. Through its subsidiaries, UHS operates 28 acute care hospitals, 331 behavioral health facilities, 60 outpatient and other facilities in 39 U.S. States, Washington, D.C., Puerto Rico and the United Kingdom.

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.

Pay Transparency

To encourage pay transparency, promote pay equity, and proactively address regulations, UHS and all our subsidiaries will comply with all applicable state or local laws or regulations which require employers to provide wage or salary range information to job applicants and employees. Salary offers may be based on key factors such as education and related experience.