Utilization Coordinator
UHS
Summary
The Utilization Coordinator is responsible for oversight of the insurance appeal process, in collaboration with the business office and for providing UR consultations to other facility departments.
Job description
Essential Job Duties
- Performs financial counseling responsibilities, including insurance verifications and patient/family notification of coverage in coordination with the business office.
- Complete insurance pre-certifications as assigned.
- Assist the Assessment and Referral Center with pre-certifications as needed.
- Complete continued stay reviews with external review agencies as needed.
- Provides clinical appropriateness data (verbal and written) to outside utilization review agencies and insurance companies according to policy and procedure.
- Analyzes patient clinical information to determine patient length of stay and level or care.
Requirements
- High school diploma or equivalent required
- Bachelors degree with RN, BSW, or MSW license strongly preferred
- 1-3+ years working in a related field required
- Experience working with psychiatric utilization review criteria and program delivery strongly preferred
Benefits
- Medical, Dental & Vision
- 401(k) Matching
- Student Loan Repayment
- Paid Time Off
- Disability Options
- Life Insurance
- Pet Insurance
Company overview
Universal Health Services, Inc. (UHS) is one of the nation's largest and most respected providers of hospital and healthcare services, operating as a Fortune 300 corporation headquartered in King of Prussia, Pennsylvania. Founded in 1979, UHS has grown into a major healthcare enterprise with approximately 99,000 employees and annual revenues exceeding $14 billion. The company operates through its subsidiaries, managing 29 acute care hospitals, 331 behavioral health facilities, and 60 outpatient and other facilities across 39 U.S. states, Washington D.C., Puerto Rico, and the United Kingdom. UHS provides comprehensive healthcare services including acute care, behavioral health treatment, cancer centers, and ambulatory surgical centers. The company's strategy focuses on building or acquiring high-quality hospitals in rapidly growing markets and investing in advanced medical equipment and skilled personnel to become the leading healthcare provider in each community it serves. UHS is publicly traded on the New York Stock Exchange (NYSE: UHS) and has established a strong reputation for delivering compassionate, high-quality care while maintaining financial stability and operational excellence.