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.

Job description

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.
Bachelor's Degree preferred.
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.

Physical Requirements

This position is primarily sedentary and requires prolonged sitting and frequent keyboard use. Occasional standing and walking are required.

Requirements

High school diploma or GED
Bachelor's Degree preferred
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

Benefits

Competitive compensation
Generous paid time off
Medical insurance
Dental insurance
Vision insurance
Prescription drug plans
401(k) with company match
Discounted stock plan
SoFi student loan refinancing
Career development opportunities
Free meals
Attendance incentives
Shift differential pay
Tuition reimbursement

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.