DESCRIPTION

The primary responsibility of the position is to support the daily Utilization Review operations and functions. This position requires close collaboration with licensed UR caregivers and other departments/disciplines including but not limited to pre-service, case management/discharge planning, revenue cycle, compliance, physicians, HIM/coding and other key internal or external (e.g., payers) partners.
Providence caregivers are not simply valued – they’re invaluable. Join our team at Providence St. Peter Hospital and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.

REQUIRED QUALIFICATIONS:

• 3 years - Demonstrated outstanding customer service experience.
• 3 years - Clerical and computer experience

PREFERRED QUALIFICATIONS:

• Coursework/Training - Some college level course work or High School Diploma or GED equivalent or some college level course work preferred particularly Medical Terminology or Medical Assistance coursework.
• Coursework/Training - Medical Terminology or Medical Assistant or equivalent educ/experience.
• 5 years - Hospital, clinical setting or healthcare related field required.
• 3 years - Knowledge of insurance billing and managed care.

Please refer the Job description for details