Utilization Review & Documentation Coordinator

Pruitthealth Corporation; Norcross (GA); On-site; USD 42,000 - 54,000; Full time

Job summary

Pruitthealth Corporation in Norcross, GA is seeking a Care Integration Utilization Review Coordinator to gather, review and track medical documentation requests and ensure timely responses.

You will work with SNFs, maintain confidentiality, and coordinate with insurance payers, using a tracking system and delivering excellent customer service.

The role requires attention to detail, the ability to multitask under deadlines, and collaboration within a team.

Qualifications

• High school diploma or equivalent required.
• Healthcare documentation experience is preferred.
• Knowledge of insurance billing processes is a plus.

Responsibilities

• Requests and reviews medical documentation from SNFs.
• Assist SNFs with questions related to requests.
• Maintain and follow up on medical review audits with payers and SNFs.
• Use tracking system to record all documentation processed.
• Maintain confidentiality of patient information.
• Work under time pressures and changing priorities.
• Collaborate with team with minimal supervision.
• Deliver exceptional customer service.
• Perform additional duties as assigned.
• Maintain timely, regular attendance.
• Attend professional training as directed.

Skills

Keyboard proficiency

Medical assessment & documentation

Customer service & communication

Confidentiality & privacy

Team collaboration

Time management under deadlines

Education

High school diploma or equivalent

Tools

MS Office Suite

Job description

Pruitthealth Corporation in Norcross, GA is seeking a Care Integration Utilization Review Coordinator to gather, review and track medical documentation requests and ensure timely responses.

You will work with SNFs, maintain confidentiality, and coordinate with insurance payers, using a tracking system and delivering excellent customer service.

The role requires attention to detail, the ability to multitask under deadlines, and collaboration within a team.