Position: Insurance Utilization Coordinator Type: Full-Time Location: Pinellas Park, FL
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Are you looking for an opportunity where you can be a part of a cohesive team? Do you thrive in a fast paced work environment with a wide variety of responsibilities? If so, come join our team.
At Sequel Youth and Family Services, we work together to build a brighter tomorrow. Through a continuum of services, SequelCare provides education, counseling and supervision to individuals and families in their home community. SequelCare professionals work in conjunction with local resources to develop a strength-based plan to support success for our consumers.
SequelCare is currently seeking a full-time Insurance Utilization Coordinator to join our team at our Pinellas Park location.
The Utilization Coordinator is responsible for obtaining authorizations for services in a timely manner and ensuring that all documentation complies with all state and federal statutes as well as SequelCare of Florida's policies and procedures
Essential Functions Statement(s)
Obtains, enters, and reviews all incoming authorizations and authorizations requests
Ensures documentation complies with all state and federal statutes as well as company guidelines
Ensures Medik is consistently updated with authorizations
Collaborates with internal and external parties regarding authorizations and provides guidance to staff and managers on authorization items
Works with staff to resolve deficiencies in a timely manner
Assists in the process of eligibilities on a monthly basis
Research code issues and authorization changes and/or updates
Scrub charges that end up in dirty charges
Ensures that SequelCare of Florida utilizes best practices and maintains compliance with the utilization process
Professional growth opportunities
Short-term disability & long-term disability
Flexible spending program
If you're a motivated individual who's looking for a meaningful career, supporting the services we provide in our community, we look forward to hearing from you.
Sequel Youth and Family Services is an Equal Opportunity Employer
Sequel Youth And Family Services