VALUE-BASED RCM
Description
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
Requirements
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
Salary Description
HOURLY RATE: $19 - $24 per hour