Job Details

Utilization Review Process Coordinator

  2021-08-18     Cottage Health      Goleta  
Description:

Utilization Review, Denials Appeals Process Coordinator - CH Clinical Denials and Appeals (Full Time, 8 Hour, Day Shifts)

The Utilization Review and Denials and Appeals Process Coordinator is responsible for all clerical aspects of denials and appeals including, but not limited to, processing requests for concurrent or retro reviews. This individual will be a liaison and point of contact to/for PBS, UM and other CHS representatives for denial and appeal inquiries. This individual must be able to work independently and manage customer service and project workflow

LEVEL OF EDUCATION

Preferred: Associate's or Bachelor's Degree

TECHNICAL REQUIREMENTS

Minimum: Intermediate MS Excel, Word, Outlook, and PowerPoint skill and proficient Internet skills

Preferred: Proficiency with electronic medical records, databases, and clinical application software

YEARS OF RELATED WORK EXPERIENCE

Minimum: 2 years of clerical experience in a healthcare setting

Preferred: Previous experience in denials and appeals, insurance follow up, and patient financial services

Cottage Health is a leading acute care hospital system, located on the central coast of California, widely known for our superior patient care, innovation, medical research and education. Our health system operates primarily in Santa Barbara, Ca, since 1888, and consists of three acute care hospitals, a Rehabilitation Hospital, multiple clinics and a multi-site Urgent Care system. Our mission is to serve the central coast communities with excellence, integrity, and compassion. Every day we touch thousands of lives in many different ways, resolute in our mission to put patients first. We take pride in helping our patients get back to living their lives - in the places they love.

Apply online at: jobs.cottagehealth.org

Cottage Health is an Equal Opportunity Employer. Cottage Health applicants are considered solely based on their qualifications, without regard to race, color, ethnicity, religion, age, gender, transgender, gender expression and identity, national origin, ancestry, disability, sexual orientation, marital status, military status or any other classification protected by law. This policy applies to all aspects of the relationship between Cottage Health and an applicant or employee. Cottage Health is committed to upholding discrimination-free hiring practices. We strive to cultivate an environment where exceptional people bring diverse perspectives and find belonging, support and connection to their work.

Any Cottage Health applicants who require assistance or reasonable accommodations during the application process may request the need for accommodation with the Recruiter.


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