Insurance Utilization Review Jobs in Tennessee (NOW HIRING)

Responsibilities
Now Hiring: Utilization Review Coordinator
Position Summary
Mountain Youth Academy is nestled in Mountain City, Tennessee which is a short commute from Johnson City, TN, Boone, NC, and Abingdon, VA. We are a 120-bed residential treatment facility and assist in the evaluation, diagnosis, and treatment of a wide range of behavioral health issues for our young adolescent patients. We are seeking a meticulous and compassionate Utilization Review Coordinator to join our team.We are seeking a detail-oriented and organized Utilization Review Coordinator to join our Business Office team. This position plays a vital role in ensuring our students receive uninterrupted insurance coverage by coordinating timely insurance reviews, maintaining utilization management records, and serving as a liaison between insurance providers, referral sources, and internal departments.
The ideal candidate is highly organized, possesses excellent communication and customer service skills, and thrives in a fast-paced healthcare environment.
What You'll Do:

• Submit initial and concurrent insurance reviews to ensure continued authorization and coverage.
• Complete insurance eligibility verifications twice monthly.
• Coordinate daily and weekly admission and discharge utilization processes.
• Maintain utilization management databases and spreadsheets.
• Prepare weekly, monthly, and quarterly utilization reports, including reports for the Utilization Management Committee.
• Communicate effectively with insurance representatives, referral sources, and internal leadership.
• Participate in monthly Zoom meetings and other department meetings.
• Perform additional duties as assigned.

Qualifications
Minimum Experience and/or Training:

• High school diploma or GED.
• 1+ year(s) of related administrative or healthcare experience.
• Strong computer proficiency, including Microsoft Office (Excel and Word).
• Excellent verbal and written communication skills.
• Strong customer service and organizational skills.
• Experience navigating multiple web-based portals.
• Knowledge of insurance authorization processes is preferred.

Why Join Mountain Youth Academy?
At Mountain Youth Academy, every team member plays an important role in helping young people receive the care they need. We foster a collaborative environment built on professionalism, accountability, teamwork, and exceptional service. If you're looking for a meaningful career where your work directly supports patient care and organizational success, we'd love to hear from you.
Physical Requirements
This position is primarily sedentary and requires prolonged sitting and frequent keyboard use. Occasional standing and walking are required.
Additional Benefit:

• Challenging and rewarding work environment
• Competitive Compensation & Generous Paid Time Off
• Excellent Medical, Dental, Vision and Prescription Drug Plans
• 401(K) with company match and discounted stock plan
• SoFi Student Loan Refinancing Program
• Career development opportunities within UHS and its 300+ Subsidiaries!
• Free Meals
• Attendance Incentives
• Shift Differential Pay
• Tuition Reimbursement

For a full preview of benefits, please visit UHS Benefits Service Center (ehr.com)
About Universal Health Services
One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (NYSE: UHS) has built an impressive record of achievement and performance, growing since its inception into a Fortune 500 corporation. Headquartered in King of Prussia, PA, UHS has 99,000 employees. Through its subsidiaries, UHS operates 28 acute care hospitals, 331 behavioral health facilities, 60 outpatient and other facilities in 39 U.S. States, Washington, D.C., Puerto Rico and the United Kingdom.
EEO Statement
All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.
Avoid and Report Recruitment Scams
We are aware of a scam whereby imposters are posing as Recruiters from UHS, and our subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information.
At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.
If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.
Pay Transparency:
To encourage pay transparency, promote pay equity, and proactively address regulations, UHS and all our subsidiaries will comply with all applicable state or local laws or regulations which require employers to provide wage or salary range information to job applicants and employees. Salary offers may be based on key factors such as education and related experience.