Utilization Coordinator- Part Time (Remote)

Authorization 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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