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  • Phoenix, AZ

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Utilization Review Coordinator (Part-time / Entry Level)

Preferred Homecare - LifeCare Solutions • Phoenix, AZ

Posted 1 month ago

Job Snapshot

Healthcare - Health Services

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Job Description

Utilization Coordinator
Position Summary: The Utilization Management Coordinator reviews monthly spreadsheet data for utilization of services for all capitation accounts, including patient eligibility and equipment audits. 
Essential Duties and Responsibilities include the following.  Other duties may be assigned. 
  • Verifies current insurance eligibility/ verifies patient demographics are complete and updated
  • Identifies payer changes and works with branches / billing to resolve. 
  • Verifies equipment usage and generate pickups of unused equipment/ work with branch to recover equipment.
  • Identify deceased patients and resolve accounts following the appropriate process
  • Completes monthly utilization review of oxygen equipment and paps, beds, wheelchair rentals as assigned by management
  • Reviews medical documentation to ensure current requirements are being met / communicate with referring physicians to obtain current documentation
  • Other special projects as assigned.
  • High School diploma or GED equivalency
  • Must have excellent organizational, communication, and interpersonal skills.
  • One year of DME/home health experience preferred.
  • Knowledge in excel spreadsheets preferred.
Required Skills:
  • Computer, Microsoft Office, Excel, Outlook knowledge.
  • Strong phone and customer service skills.
  • Strong Multi-tasking.
Job ID: 162876
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