What are the responsibilities and job description for the Utilization Management Assistant position at Mountain Region Corporate Support?
Welcome to CommonSpirit Health Mountain Region:
CommonSpirit Health is one of the nation’s largest nonprofit, faith-based health systems, with a team of over 150,000 employees and 25,000 physicians and advanced practice clinicians. CommonSpirit operates more than 2,200 care sites and 140 hospitals, serving some of the most diverse communities across the nation, letting humankindness lead the way.
Overview:
The Utilization Management Assistant receives, processes, facilitates and documents all payer communications. This position supports denial mitigation by sending documentation within the contracted time period, following up on accounts lacking authorization and communicating with internal stakeholders to ensure the accurate submission of clinical documentation to third party payers. The Payer Communication Coordinator supports the Care Coordination department by recognizing trends and opportunities for process improvement and reporting those to leadership. The Payer Communication Coordinator performs these duties with a high degree of accuracy utilizing critical thinking skills and in compliance with hospital policies, standards of practice and Federal and State Regulations.
Qualifications:
Your Connected Community:
Our Total Reward Offerings:
Shift: Variable
CommonSpirit Health Mountain Region is committed to building healthier communities, advocating for those who are poor and vulnerable, and innovating how and where healing can happen—both inside our hospitals and out in the community. With locations throughout Colorado, Utah, and Kansas, we deliver the same high standard of care to our employees as we do to our patients. Our 20 hospitals, emergency and urgent care centers, home care and hospice, Flight for Life ColoradoTM , telehealth and over 240 physician practices and clinics offer endless opportunities! Here, you can grow your career and impact the people in the communities you serve.
CommonSpirit Health is one of the nation’s largest nonprofit, faith-based health systems, with a team of over 150,000 employees and 25,000 physicians and advanced practice clinicians. CommonSpirit operates more than 2,200 care sites and 140 hospitals, serving some of the most diverse communities across the nation, letting humankindness lead the way.
You have a purpose, unique talents and now is the time to embrace it, live it and put it to work. We value incredible people with incredible skills – but your commitment to a greater cause is something we value even more. This is the heartbeat of our organization and your time will be spent in a supportive, team environment with resources to help you flourish and leaders who care about your success.
The Utilization Management Assistant receives, processes, facilitates and documents all payer communications. This position supports denial mitigation by sending documentation within the contracted time period, following up on accounts lacking authorization and communicating with internal stakeholders to ensure the accurate submission of clinical documentation to third party payers. The Payer Communication Coordinator supports the Care Coordination department by recognizing trends and opportunities for process improvement and reporting those to leadership. The Payer Communication Coordinator performs these duties with a high degree of accuracy utilizing critical thinking skills and in compliance with hospital policies, standards of practice and Federal and State Regulations.
Qualifications:
In addition to bringing humankindness to the workplace each day, qualified candidates will need the following:
-
Minimum one year experience in a hospital, physician’s office, or medical group performing duties related to admitting, business office, payer communications or managed care or an equivalent combination of education
and experience. - High school diploma or GED required
- An understanding of operations and functions of care coordination, utilization management, denials mitigation is preferred.
- Demonstrated ability to apply problem solving skills
- Excellent customer service and presentation skills are a must
- Strong interpersonal and written communication skills are essential
- Demonstrated ability to manage multiple tasks or projects effectively
- Ability to work independently as needed with a high degree of detail orientation.
- Ability to work efficiently
Your Connected Community:
We believe in the healing power of humanity and serving the common good through our dedicated work and shared mission to celebrate humankindness.
Our Total Reward Offerings:
We believe investing in our employees lets them know they truly matter. Your Total Rewards package includes compensation, benefits, retirement, wellness, leave, and other programs. Designed with your well-being in mind, we offer:
- Several Medical, Dental, & Vision options.
- Spending Accounts including a Dependent Care FSA that can include an employer contribution
- Retirement account options with a generous employer match
- Tuition Reimbursement
- Student Loan Forgiveness, and so much more!
View more on our benefits HERE.
Pay Range:
$20.73 - $35.17 / hour
Shift: Variable
Salary : $21 - $35
