Utilization Review Services Coordinator
HCA Healthcare
**Description**
**Introduction**
Do you want to join an organization that invests in you as a Utilization Review Services Coordinator? At Parallonr, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years.
**Benefits**
Parallon, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
+ Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
+ Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
+ Free counseling services and resources for emotional, physical and financial wellbeing
+ 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
+ Employee Stock Purchase Plan with 10% off HCA Healthcare stock
+ Family support through fertility and family building benefits with Progyny and adoption assistance.
+ Referral services for child, elder and pet care, home and auto repair, event planning and more
+ Consumer discounts through Abenity and Consumer Discounts
+ Retirement readiness, rollover assistance services and preferred banking partnerships
+ Education assistance (tuition, student loan, certification support, dependent scholarships)
+ Colleague recognition program
+ Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
+ Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.
Learn more about Employee Benefits (https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards)
**_Note: Eligibility for benefits may vary by location._**
You contribute to our success. Every role has an impact on our patients’ lives and you have the opportunity to make a difference. We are looking for a dedicated Utilization Review Services Coordinator like you to be a part of our team.
**Job Summary and Qualifications**
The Utilization Review Coordinator provides clerical support to the Utilization Review Services staff as related to authorization procurement and concurrent denial mitigation.
**What you will do in this role:**
+ Document payor communications in Midas related to authorizations and concurrent denials
+ Identify accounts requiring follow up by reviewing reports, such as Tableau accounts requiring follow up and Midas Discharge report- auth / cert follow up
+ Fax clinical information as instructed via nH Discharge
+ Monitor payor letters received via payor letter retention / Right Fax process following HCA guidelines
+ Provide payors with discharge date or discharge summary, as needed
+ Answer and record inbound calls from payors, tagging calls with account number using UCCE Call Recording system
+ Manage Midas Send Payor Non-response and no authorization documented worklist rules and document appropriately
+ Demonstrate knowledge and effective use of multiple applications, systems and resources example, but not limited to: Call Recording, WebEx Teams, Electronic Health Records, Payor portals, Right Fax, Share Point sites and OnBase
+ Support Central UR nurses in a clerical function as needed or requested
**What qualifications you will need:**
+ Associates degree preferred.
+ Greater than 2 years’ work experience in the healthcare setting required.
"Good people beget good people."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder
We are a family 270,000 dedicated professionals! Our Talent Acquisition team is reviewing applications for our Utilization Review Services Coordinator opening. Qualified candidates will be contacted for interviews. **Submit your resume today to join our community of caring!**
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
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