Utilization Management Coordinator

Watertown, MA 02472

Posted: 07/17/2019 Employment Type: Contract Industry: Administrative Assistant Job Number: 3957630

Are you interested in Heath Care? Our client is looking for a Utilization Management Coordinator to join their team!

RESPONSIBILITIES:
  • Attends scheduled meetings, training sessions in both classroom and computer-based required training sessions
  • Works closely with staff to coordinate reconciliation process and day to day resolution of pended cases
  • Receives information by telephone or fax from physicians and hospitals regarding inpatient admissions
  • Generates and processes daily designated reports, letters, delegated discharge logs and workload
  • Assists with the documentation of workflows and procedures and cross-trains co-workers as needed
  • Monitors generated reports to ensure timely turn around and decisions
  • Obtains required information from caller and performs data entry
  • Processes Out of Network Forms and update events as necessary
  • Participates in department projects and special assignments
  • Maintains a current procedure manual as changes occur
  • Other duties as assigned

QUALIFICATIONS:
  • Associates degree required
  • Prior related work experience
  • Proficiency in MS Office
  • Strong communication skills
  • Excellent data entry skills
  • Ability to multitask

Ashley Dineen
Director, Client Services

Ashley Dineen has been with The Panther Group since 2009 and has worked within many areas of the company including payroll, compliance, on-boarding, recruitment, and client management.

Ashley is a mother of two and enjoys spending time with family in her spare time.

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