Utilization Review Support Specialist

Renown Health; Reno (NV); On-site; USD 42,000 - 60,000; Full time

Job summary

Renown Health is seeking an administrative support professional to assist the Utilization Review RN and Utilization Management Coordinator. The role focuses on coordinating authorizations with insurers, updating EMR with notices, and facilitating timely submission of clinical documentation.

Responsibilities include verifying orders, updating patient status before procedures, and coordinating peer discussions for denials management while handling multiple fax lines and portal notifications.

Qualifications

• Proficient with Microsoft Office Suite (Outlook, Word, Excel, PowerPoint).
• Strong written and verbal communication skills.
• Ability to collaborate across teams and departments.
• Ability to prioritize and manage multiple tasks with accuracy.

Responsibilities

• Support the Utilization Review RN and Utilization Management Coordinator in daily tasks.
• Verify provider orders and patient status prior to elective procedures.
• Coordinate peer-to-peer discussions for denials management.
• Submit clinical documentation to payors via fax in a timely manner.
• Monitor multiple fax lines and insurance portals for authorization notices.
• Collaborate with community providers to reflect accurate orders on surgical accounts.

Skills

MS Office

Communication

Critical thinking

Collaboration

EMR access (Epic)

Tools

Epic

Job description

Renown Health is seeking an administrative support professional to assist the Utilization Review RN and Utilization Management Coordinator. The role focuses on coordinating authorizations with insurers, updating EMR with notices, and facilitating timely submission of clinical documentation.

Responsibilities include verifying orders, updating patient status before procedures, and coordinating peer discussions for denials management while handling multiple fax lines and portal notifications.