Utilization Review Coordinator
UHS
Summary
The Utilization Review Coordinator is a key member of the Alliance Health Center Team who is responsible for ensuring that financial benefits are maximized in the treatment and discharge planning for assigned cases through initial and continued stay reviews, prior authorization work for discharge services, effective liaison work and communication between business office and treatment team, support of the discharge plan, and active pursuit of appeals.
Job description
Responsibilities
- Maximize financial benefits through initial and continued stay reviews
- Perform prior authorization work for discharge services
- Act as liaison between business office and treatment team
- Support the discharge plan
- Actively pursue appeals
Qualifications
- Bachelor's Degree from an accredited college in Psychology or other related field
- Two years of experience in a health or human services agency required or experience equivalent
- Knowledge of health care service delivery systems and third party reimbursement
- Understanding of admission and discharge function
- Familiar with medical terminology, diagnostic terms and treatment modalities
- Knowledge of medical record keeping
- Strong interpersonal, organizational, evaluative, and time management skills
- Policy interpretation skills
Requirements
- Bachelor's Degree from an accredited college in Psychology or other related field
- Two years of experience in a health or human services agency required or experience equivalent
- Knowledge of health care service delivery systems and third party reimbursement
- Understanding of admission and discharge function
- Familiar with medical terminology, diagnostic terms and treatment modalities
- Knowledge of medical record keeping
- Strong interpersonal, organizational, evaluative, and time management skills
- Policy interpretation skills
Benefits
- Competitive Compensation
- Generous Paid Time Off
- Medical, Dental & Vision
- Prescription Drug Plans
- 401(k) with Company Match
- Discounted Stock Plan
- SoFi Student Loan Refinancing
- Career Development Opportunities
- Tuition Reimbursement Program
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.