Utilization Review Coordinator – Inpatient Behavioral Health

Georgetown Behavioral Health Institute; Georgetown (TX); On-site; USD 41,000 - 55,000; Full time

Job summary

Georgetown Behavioral Health Institute is seeking a PRN Utilization Review Coordinator to manage authorizations with insurance providers for inpatient, partial, and intensive outpatient services. The role requires coordination across admission teams and knowledge of billing practices.

Preferred candidates hold a Bachelor's degree in nursing and 3-5 years of admitting or financial counseling experience, with CPR certification within 30 days.

Qualifications

• Bachelor's degree or equivalent in nursing preferred.
• 3-5 years in admitting or financial counseling preferred.
• Knowledge of insurance coverage and billing practices preferred.
• Previous utilization review or case management experience desirable.
• CPR certification required within 30 days of hire.

Responsibilities

• Coordinate authorization for admitted patients with insurers and managed care.
• Review the authorization process to identify potential problems and ensure full benefits access.
• Assist with inpatient, partial, and intensive outpatient admissions and services.
• Work with clinical and admitting staff to facilitate timely approvals.

Skills

Insurance verification

Utilization review

Case management

Communication

Education

Bachelor's degree in nursing

Job description

Georgetown Behavioral Health Institute is seeking a PRN Utilization Review Coordinator to manage authorizations with insurance providers for inpatient, partial, and intensive outpatient services. The role requires coordination across admission teams and knowledge of billing practices.

Preferred candidates hold a Bachelor's degree in nursing and 3-5 years of admitting or financial counseling experience, with CPR certification within 30 days.