Utilization Review Technician jobs in Waco, TX

RESPONSIBILITIES:

- Review all financial aspects of referrals for the market

- Make decisions regarding financial approval or denial of referrals

- Initiate communication with central intake for financial approval

- Coordinate communication of financial information to the community for successful admission

- Perform some data entry related to financial aspects into electronic systems

QUALIFICATIONS:

- Experience as an admissions coordinator or business office manager in SNF settings

- Familiarity with managed care authorization submission processes

- Proficiency in PointClickCare or similar electronic medical record systems

- Background in skilled nursing facilities (SNF)

 ESSENTIAL FUNCTIONS:

- Review financial documentation for admission to skilled nursing communities in the assigned market

- Communicate efficiently with financial approvers, liaisons, and communities receiving admission

- Plan, prepare, and communicate financial requirements upon entry into the community

- Perform data entry related to financial aspects into electronic systems

- Ensure adherence to admission timeline by supporting timely inquiries

- Assist all communities in the assigned market with the intake of financial referral documents

 PHYSICAL REQUIREMENTS:

- Ability to safely perform movements such as pushing, pulling, lifting, bending, kneeling, reaching, and lifting up to 25 pounds with or without reasonable accommodations

 WORK SCHEDULE:

- Monday to Friday, 8 am to 5 pm, with PRN (as needed) times on evenings, weekends, and holidays as assigned

- Full-time position, remote

REPORTS TO:

VP of Business Development