Insurance Utilization Coordinator

Sequel Youth And Family Services Pinellas Park , FL 34666

Posted 5 months ago

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.

Job Responsibilities

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

Benefits

  • Competitive salary

  • Professional growth opportunities

  • Medical/dental/vision/life insurance

  • 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


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Insurance Utilization Coordinator

Sequel Youth And Family Services