Utilization Review Coordinator conducts utilization reviews to determine if patients are receiving care appropriate to illness or condition. Monitors patient charts and records to evaluate care concurrent with the patients treatment. Being a Utilization Review Coordinator reviews treatment plans and status of approvals from insurers. Collects and complies data as required and according to applicable policies and regulations. Additionally, Utilization Review Coordinator consults with physicians as needed. May require a bachelor's degree. Typically reports to a supervisor. Typically requires Registered Nurse(RN). The Utilization Review Coordinator contributes to moderately complex aspects of a project. Work is generally independent and collaborative in nature. To be a Utilization Review Coordinator typically requires 4 to 7 years of related experience. (Copyright 2024 Salary.com)
Position: Account Services Review Specialist
Location: 88 Technology Park Way, South Burlington, VT
Hours: Monday-Friday, 8:30am-5:00pm & 9:30am-6:00pm
Position description: The Account Review Specialist is responsible to review account changes on new and existing accounts, ensure proper documentation is received and completed, as well as ensure system integrity and review transaction errors and remedy any issues.
Specific duties include:
Qualifications:
E.O.E.
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