VALUE-BASED RCM - Utilization Management Coordinator

JOB SUMMARY

The Utilization Management Coordinator for Value-Based RCM, Inc. (VBRCM) is responsible for proactively engaging payors with the purpose of securing authorizations for patient care. 

MAJOR AREAS OF FOCUS

•  Prior Authorizations
•  Customer Service

RESPONSIBILITIES

•  Use, protect, and disclose patient protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
•  Exhibit professional behavior and communication skills representative of VBRCM's commitment to superior customer service
•  Utilize system tools, dashboards, payer websites, payer portals, etc. in an effort to secure authorizations in a timely manner
•  Collaborates with VBRCM leaders on potential cause and effect understandings
•  Works as a team player
•  Perform other duties as assigned

KNOWLEDGE AND SKILLS

•  Ability to work independently and as part of a team
•  Knowledge of reimbursement and regulatory standards
•  Demonstrated experience in prior authorization process
•  Basic computer skills
•  Innovative, enthusiastic, creative, problem-solving skills
•  Ability and desire to work in a remote environment
•  Strong organizational skills and attention to detail

EDUCATION/EXPERIENCE

•  High school diploma or GED
•  Previous medical billing experience required
•  Proficient in Microsoft office (Excel, Word, and PowerPoint)

PHYSICAL REQUIREMENTS

•  Prolonged periods sitting at a desk and working on a computer
•  Must be able to lift up to 15 pounds at times

JOB TYPE: Full-time

HOURLY RATE: $19 - $24 per hour

JOB LOCATION

•  Remote

BENEFITS:

•    Flexible Paid time off
• Flexible Schedule 
• Work from home
• Company-sponsored medical, dental, and vision insurance 
• Employer-paid short-term disability, long-term disability, and life insurance 
• 401k retirement plans with company-match Paid time off

SCHEDULE:

•  Monday to Friday