Utilization Coordinator- Part Time (Remote)
Posted 2025-03-14Authorization Coordinator-Part Time (Remote)
Empowering Minds Resource Center is looking for a candidate to submit authorizations for behavioral health program services...
Job Duties:
? Review provider clinical documentation to ensure compliance with COMAR and/or CARF regulations.
? Responsible for submitting PRP, OMHC and Care Coordination authorizations and gathering supporting documentation (i.e. Collaborations, referral and diagnostics).
? Acts as a liaison with OPTUM to provide feedback on system updates, authorization requirements (# of required visits).
? Pull authorization list weekly and communicate with client services.
? Follow up with authorizations until processing.
? Check authorizations daily
? Maintains accurate records of all communication and documentation in the EHR system.
? Meet weekly with PRP Director.
? Other duties as assigned
Qualifications: ? BA Degree and experience preferred ? Must be able to interact and communicate with individuals at all levels of the organization. ? Strong personal, phone, and written customer communication skills. ? Ability to prioritize work assignments and shift work efforts based on the needs of the department or agency goals. ? Ability to manage time effectively, work independently and be self-motivated. ? Demonstrate initiative and problem-solving skills. ? Excellent computer skills
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