Complete insurance eligibility verifications twice monthly. * Coordinate daily and weekly admission and discharge utilization processes. * Maintain utilization management databases and spreadsheets.
Complete insurance eligibility verifications twice monthly. * Coordinate daily and weekly admission and discharge utilization processes. * Maintain utilization management databases and spreadsheets.
Complete insurance eligibility verifications twice monthly. * Coordinate daily and weekly admission and discharge utilization processes. * Maintain utilization management databases and spreadsheets.
Complete insurance eligibility verifications twice monthly. * Coordinate daily and weekly admission and discharge utilization processes. * Maintain utilization management databases and spreadsheets.
Complete insurance eligibility verifications twice monthly. * Coordinate daily and weekly admission and discharge utilization processes. * Maintain utilization management databases and spreadsheets.
Complete insurance eligibility verifications twice monthly. * Coordinate daily and weekly admission and discharge utilization processes. * Maintain utilization management databases and spreadsheets.
Complete insurance eligibility verifications twice monthly. * Coordinate daily and weekly admission and discharge utilization processes. * Maintain utilization management databases and spreadsheets.
Complete insurance eligibility verifications twice monthly. * Coordinate daily and weekly admission and discharge utilization processes. * Maintain utilization management databases and spreadsheets.
Complete insurance eligibility verifications twice monthly. * Coordinate daily and weekly admission and discharge utilization processes. * Maintain utilization management databases and spreadsheets.
Complete insurance eligibility verifications twice monthly. * Coordinate daily and weekly admission and discharge utilization processes. * Maintain utilization management databases and spreadsheets.
VP of Utilization Review
Franklin, TN · On-site +1
Develops and maintains strategic relationships with insurance organizations, managed care companies, external review organizations, payer representatives, referral partners, vendors, and consultants ...
VP of Utilization Review
Franklin, TN · On-site +1
Develops and maintains strategic relationships with insurance organizations, managed care companies, external review organizations, payer representatives, referral partners, vendors, and consultants ...
Develops and maintains strategic relationships with insurance organizations, managed care companies, external review organizations, payer representatives, referral partners, vendors, and consultants ...
Develops and maintains strategic relationships with insurance organizations, managed care companies, external review organizations, payer representatives, referral partners, vendors, and consultants ...
PURPOSE STATEMENT: Proactively monitor utilization of services for patients to optimize ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
PURPOSE STATEMENT: Proactively monitor utilization of services for patients to optimize ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
Proactively monitor utilization of services for patients to optimize reimbursement for the facility ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
Proactively monitor utilization of services for patients to optimize reimbursement for the facility ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
Proactively monitor utilization of services for patients to optimize reimbursement for the facility ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
Proactively monitor utilization of services for patients to optimize reimbursement for the facility ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
Pharmacy Intern - Franklin Giant Eagle
$16.50 - $20.50/hr
Enter patient personal data and insurance information. * Enter all prescription information ... Alert pharmacists appropriately for drug utilization reviews, calling and resolving third party ...
Pharmacy Intern - Franklin Giant Eagle
$16.50 - $20.50/hr
Enter patient personal data and insurance information. * Enter all prescription information ... Alert pharmacists appropriately for drug utilization reviews, calling and resolving third party ...
... reviews as applicable utilizing CMS clinical guidelines and insurance policies. * Maintains ... Analyze utilization trends to ensure progress towards organizational goals * Educates healthcare ...
... reviews as applicable utilizing CMS clinical guidelines and insurance policies. * Maintains ... Analyze utilization trends to ensure progress towards organizational goals * Educates healthcare ...
UR Coordinator - Full-time
Memphis, TN · On-site
Serves as liaison for patients and hospital with insurance companies. Negotiates and advocates for patient length of stay and level of care. Oversees utilization review activities with other ...
UR Coordinator - Full-time
Memphis, TN · On-site
Serves as liaison for patients and hospital with insurance companies. Negotiates and advocates for patient length of stay and level of care. Oversees utilization review activities with other ...
... reviews as applicable utilizing CMS clinical guidelines and insurance policies. * Maintains ... Analyze utilization trends to ensure progress towards organizational goals * Educates healthcare ...
... reviews as applicable utilizing CMS clinical guidelines and insurance policies. * Maintains ... Analyze utilization trends to ensure progress towards organizational goals * Educates healthcare ...
Must possess knowledge of psychiatric care, utilization review, insurance reimbursement procedures, DSM-V, etc. Advanced computer skills necessary. Strong analytical, organizational, verbal and ...
Must possess knowledge of psychiatric care, utilization review, insurance reimbursement procedures, DSM-V, etc. Advanced computer skills necessary. Strong analytical, organizational, verbal and ...
Verification of Benefits Specialist
Nashville, TN · On-site +1
$23 - $25/hr
... utilization review, and billing teams to ensure accurate financial clearance and prevent downstream billing issues. Candidates must understand insurance plan types and benefit structures including ...
Verification of Benefits Specialist
Nashville, TN · On-site +1
$23 - $25/hr
... utilization review, and billing teams to ensure accurate financial clearance and prevent downstream billing issues. Candidates must understand insurance plan types and benefit structures including ...
Billing Specialist and Utilization
$18.75 - $25.25/hr
Utilization Review and Support Specialist Classification: Full-time, non-exempt Minimum ... Demonstrated experience conducting insurance precertification and continued stay reviews, client ...
Quick apply
Billing Specialist and Utilization
$18.75 - $25.25/hr
Utilization Review and Support Specialist Classification: Full-time, non-exempt Minimum ... Demonstrated experience conducting insurance precertification and continued stay reviews, client ...
Billing Specialist and Utilization
Nashville, TN · On-site
$18.75 - $25.25/hr
) Utilization Review and Support Specialist Classification: Full-time, non-exempt Minimum ... Demonstrated experience conducting insurance precertification and continued stay reviews, client ...
Billing Specialist and Utilization
Nashville, TN · On-site
$18.75 - $25.25/hr
) Utilization Review and Support Specialist Classification: Full-time, non-exempt Minimum ... Demonstrated experience conducting insurance precertification and continued stay reviews, client ...
Billing Specialist and Utilization
Nashville, TN · On-site
$18.75 - $25.25/hr
Utilization Review and Support Specialist Classification: Full-time, non-exempt Minimum ... Demonstrated experience conducting insurance precertification and continued stay reviews, client ...
Quick apply
Billing Specialist and Utilization
Nashville, TN · On-site
$18.75 - $25.25/hr
Utilization Review and Support Specialist Classification: Full-time, non-exempt Minimum ... Demonstrated experience conducting insurance precertification and continued stay reviews, client ...
... Insurance, and more) Please apply and see more job requisitions at: Essential Duties and ... Review database monitoring dashboards and alerting tools. Validate successful execution of SQL ...
... Insurance, and more) Please apply and see more job requisitions at: Essential Duties and ... Review database monitoring dashboards and alerting tools. Validate successful execution of SQL ...
Intern Insurance Utilization Review information
What are some typical responsibilities for an Intern in Insurance Utilization Review and how do they contribute to the team?
What is the difference between Intern Insurance Utilization Review vs Insurance Claims Processor?
| Aspect | Intern Insurance Utilization Review | Insurance Claims Processor |
|---|---|---|
| Credentials | Typically pursuing or holding a relevant degree (e.g., health administration, nursing) | High school diploma or equivalent; some roles may require insurance or claims processing certifications |
| Work Environment | Healthcare settings, insurance companies, or administrative offices | Insurance companies, healthcare providers, or claims processing centers |
| Primary Responsibilities | Assisting in reviewing medical necessity, supporting utilization review processes | Processing and reviewing insurance claims for accuracy and completeness |
Intern Insurance Utilization Review focuses on evaluating medical necessity and supporting healthcare decision-making, often involving review of patient records. Insurance Claims Processors handle the administrative task of reviewing and processing insurance claims for payment. While both roles involve insurance and healthcare, utilization review emphasizes clinical assessment, whereas claims processing centers on administrative claim management.
What are the key skills and qualifications needed to thrive as an Intern in Insurance Utilization Review, and why are they important?
What does an Intern Insurance Utilization Review do?
Full-time
Medical, Dental, Vision, Retirement, PTO
Posted 5 days ago
Universal Health Services rating
6.8
Based on 252 frontline employees who took The Breakroom Quiz
495th of 886 rated healthcare providers
Job description
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.
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
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.
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About Universal Health Services
Sourced by ZipRecruiter
Universal Health Services (UHS) is a major player in the healthcare industry, based in King of Prussia, Pennsylvania, U.S. Founded in 1978, UHS offers hospital and healthcare services. Their diverse services range from acute care hospitals, behavioral health facilities and ambulatory centers nationwide. The company's mission of enhancing the health and well-being of their patients is reflected in their commitment to 'Helping Individuals Live Longer, Healthier and Happier Lives'. Universal Health Services' consistent growth and success in their industry have been recognized on numerous occasions, including being ranked amongst the Fortune 500 list of largest companies.
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
King of Prussia, PA, US