Utilization Review Coordinator — Youth Healthcare Admin

Arbour SeniorCare; Mountain City (TN); On-site; USD 32,000 - 52,000; Full time

Benefits offered by this job

Competitive pay

Generous PTO

Medical, dental, vision

401(k) with match

SoFi student loan program

Career development

Free meals

Attendance incentives

Shift differential

Tuition reimbursement

Job summary

Mountain Youth Academy in Mountain City, Tennessee seeks a meticulous Utilization Review Coordinator to safeguard continuous insurance coverage for its adolescent program. The role bridges the Business Office with insurers and internal teams to maintain utilization records and generate management reports.

The ideal candidate is organized with strong communication and customer service skills, thriving in a fast-paced healthcare setting.

Qualifications

• High school diploma or GED required; bachelor’s degree preferred.
• 1+ year of related admin or healthcare experience.
• Strong Microsoft Office skills (Excel and Word).
• Excellent verbal and written communication skills.
• Strong customer service and organizational abilities.
• Experience navigating multiple web-based portals.
• Knowledge of insurance authorization processes preferred.

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 for the committee.
• Communicate effectively with insurance representatives, referral sources, and leadership.
• Attend monthly department meetings and participate in additional duties as assigned.

Skills

Administrative experience

Healthcare experience

Microsoft Office

Communication skills

Customer service

Web portals navigation

Insurance authorization knowledge

Education

High school diploma or GED

Bachelor’s degree preferred

Tools

Excel

Word

Job description

Mountain Youth Academy in Mountain City, Tennessee seeks a meticulous Utilization Review Coordinator to safeguard continuous insurance coverage for its adolescent program. The role bridges the Business Office with insurers and internal teams to maintain utilization records and generate management reports.

The ideal candidate is organized with strong communication and customer service skills, thriving in a fast-paced healthcare setting.