Confidential Hiring for Utilization Review Coordinator Job at Williamsport, PA Full Time

Billing/UR Coordinator: Reports to the Billing/UR Manager

Position Overview:

This is an office support positon involving the billing accounts receivable, screening and intake, and authorization procedures of the facilities.

Qualifications for the Position

High School Diploma with a minimum of three years’ experience, preferred associate’s degree in Business Administration, Accounting, or Health Care Administration.

Candidate must be personable and maintain effective communication skills. They must be knowledgeable about insurance protocols and billing procedures.

Essential Duties and Responsibilities

• Prepare and submit clean claims to payers either electronically or by form of submission by the payer.
• Complete, verify and upload insurance checks for each client on assigned caseload, on a weekly basis.
• Initiate and maintain annual eligibility for private insurances and inform client and counselor of changes.
• Facilitate communications between facilities intake screening/assessment, billing, and clinical department as related to obtaining and maintaining client funding for clinical services. Change, add or locate additional funding sources for individuals who have lost assigned insurance coverage. Notify client, counselor, and management of change.
• Enter client-billing data on a daily basis.
• Act as the facility liaison in resolving any funding issues that may arise with the MCO/SCA or DOC and maintain detailed records of any communications between the facility and funding agency (e.g. documents when, where and to whom ASAM forms are sent, records receipt of funding authorizations, etc.)
• Answer phones to coordinate client referrals, billing questions, scheduling needs, rescheduling clients, and other issues that arise. Complete appropriate client documentation in client charts.
• Complete screening, intake, and scheduled for clients contacting Genesis House for services.
• Participate in weekly team meetings.
• Maintains the strictest confidentiality and adheres to all HIPPA regulations.
• Must be able to operate a computer, fax machine, copier, and the facility’s phone system.
• Perform additional duties as requested by supervisor.
• EOE

Job Type: Full-time

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Health insurance
• Life insurance
• Paid time off
• Retirement plan
• Tuition reimbursement
• Vision insurance

Schedule:

• 8 hour shift

COVID-19 considerations:
We follow all COVID-19 recommendations as directed by the Centers for Disease Control (CDC) and the Department of Health (DOH).

Ability to commute/relocate:

• Williamsport, PA 17701: Reliably commute or planning to relocate before starting work (Required)

License/Certification:

• Driver’s License (Required)

Shift availability:

• Day Shift (Preferred)

Work Location: One location