CorroHealth · 19 hours ago
Coordinator, Uilization Management
CorroHealth is dedicated to helping clients achieve their financial health goals through scalable solutions and clinical expertise. The Coordinator, Utilization Management will manage the authorization process from start to finish, ensuring compliance with healthcare regulations while acting as a liaison between hospital staff and health payers.
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Responsibilities
Manage the Authorization process end to end, from initial notification, entry and submission of required information, follow up all the way to determination and discharge
Maintain detailed documentation of the record in the EMR system, in the internal CorroHealth system and in the Health Payer portals
Verify correct eligibility and benefits for patients
Act as a liaison between the hospital staff and the Health Payer to facilitate information sharing and successful process completion within allocated timeframe
Review timely filing guidelines regarding the utilization management process
Track and follow up with payers on pending authorizations to ensure timely responses
Contact payer to elicit further information regarding status, decisions and remove hurdles in the processing
Identify and escalate issues that may result in delays or denials
Manage assigned workload of accounts through timely follow up and accurate record keeping
Maintain compliance with HIPAA and other healthcare regulations
Qualification
Required
High School Diploma or equivalent
2 years of experience in hospital related billing/follow-up/healthcare setting/authorization field
Knowledge of/experience working with managed care contracts
Experience working with customer support/client issue resolution management
Strong understanding of medical terminology and insurance processes
Experience working in EMR systems
Excellent communication and organization skills
Strong multi-tasking skills, working in a face paced environment
Proficiency with MS Office and web systems
Preferred
Associate degree in healthcare administration or equivalent preferred
Experience working in EMR systems, Epic preferred
Benefits
Medical/Dental/Vision Insurance
401k matching (up to 2%)
PTO: 80 hours accrued, annually
9 paid annual holidays
Life Insurance
Short/Long term disability options
Tuition reimbursement
Professional growth and more!
Company
CorroHealth
CorroHealth is a provider of revenue cycle management solutions for healthcare organizations, including health systems, and health plans.
H1B Sponsorship
CorroHealth has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (2)
2024 (1)
2022 (1)
Funding
Current Stage
Late StageTotal Funding
$376.27MKey Investors
Patient Square Capital
2024-10-24Private Equity
2023-10-05Private Equity· $50M
2022-05-17Series Unknown· $16.6M
Recent News
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