Utilization Management Coordinator PRN Days – Coverage 7 days per week as needed
Location: Dallas, TX
Location Type: Remote Eligible
Location Type: Remote Eligible
Job Number: 793707
Category: Administrative/Clerical
20577781
Responsibilities
Utilization Management Coordinator PRN Days – Coverage 7 days per week as needed
Why UT Southwestern? With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to excellence, innovation, teamwork, and compassion. As a world-renowned medical and research center, we strive to provide the best possible care, resources, and benefits for our valued employees. Ranked as the #1 hospital in Dallas-Fort Worth for the sixth consecutive year, we invite you to continue your healthcare career with us at William P. Clements Jr. University Hospital. You’ll discover a culture of teamwork, professionalism, and consistent opportunities for learning and advancement into leadership roles.
Performs EPIC functions to assist the UM department with payor communications. Assist in faxing documents to insurance companies. Manages phones and fax lines. Generates EPIC reports specific to third party payors. Assist with insurance company notification of admission process.
Experience and Education
- High school graduate is required. Some college preferred.
- 5 years of hospital and/or insurance industry experience is required.
- Knowledge of Health Insurance mechanisms and coverage is required.
- Proficient in Microsoft Office Suite Working knowledge of EPIC is preferred
Job Duties
- Assists in faxing initial, concurrent or discharge reviews to insurance companies.
- Documents information submitted/received by phone or fax from insurance companies into Epic.
- Manages phone and fax lines. Processes incoming faxes, scans documents and other clerical duties as deemed necessary to assist with the facilitation of Utilization Management functions.
- Communicates with insurance company to obtain pending authorizations. • Responds to insurance requests for clinical reviews within time frames designated by contractual obligations.
- Generates and submits EPIC reports specific to third party payers.
- Maintains departmental productivity, quality metrics and completes assigned tasks in compliance with regulatory and departmental requirements.
- Performs other duties as assigned.
Knowledge, Skills, & Abilities
- Knowledge of health insurance mechanisms and coverage
- Knowledge of UR process including admission status and continued stay reviews
- Proficient in Microsoft Office Suite, including Word, Excel, PowerPoint and Power BI
- Strong oral and written communication skills
- Demonstrated accuracy skills
Working Conditions
This job is remote only and individuals who reside in the job will permanently work 100% from an alternate approved worksite. Any qualifications to be considered as equivalents in lieu of stated minimums require prior approval of the Vice President for Human Resources Administration, or his/her designee.
To learn more about the benefits UT Southwestern offers, visit https://www.utsouthwestern.edu/employees/hr-resources/
This position is security-sensitive and subject to Texas Education Code §51.215, which authorizes UT Southwestern to obtain criminal history record information.
UT Southwestern Medical Center is committed to an educational and working environment that provides equal opportunity to all members of the University community. As an equal opportunity employer, UT Southwestern prohibits unlawful discrimination, including discrimination on the basis of race, color, religion, national origin, sex, sexual orientation, gender identity, gender expression, age, disability, genetic information, citizenship status, or veteran status.
Benefits
Click here to view more benefits information.
Health Benefits
- PPO and ACO Options
- 100% Coverage for Preventative Health − No Co-Pay
- Tobacco-Free Incentives
- Generous Prescription Drug Plan
- 3 Options for Dental Coverage
- 2 Options for Vision Coverage
- Abundance of Wellness and Employee Assistance Programs
Retirement Plan
(Eligibility varies by employment status)
- The Teacher Retirement System of Texas is a defined benefit plan with 5-year vesting
- Optional Tax-Sheltered Annuity
- Optional Deferred Compensation Plan
PTO Benefits
- 13 Paid Holidays, Eligible Day 1
- 8 Hours/Month Accrued Vacation
- 8 Hours/Month Accrued Sick Leave
Other Benefits
- On-Site Day Care
- Employee Discount Program
- Tuition Reimbursement Program
- Long-Term Disability Coverage
- Short-Term Disability Coverage
- Voluntary Group Life Coverage
- Accidental Death & Dismemberment Coverage
Working at UTSW
Bring Your “A” Game.
Why are top candidates in so many professional fields – including customer service, finance, and human resources, to name a few – choosing UT Southwestern Medical Center as a career home? Simple. They know that they will work among a team of people who bring their best every day to support a health organization that’s breaking new ground in dozens of ways. That’s what we can offer you.
It takes a lot to keep UT Southwestern at the forefront, where world-class patient care, acclaimed medical education, and innovative research breakthroughs are common occurrences. When you join us, those are the challenges you’ll share. Our organization has taken on serious commitments and responsibilities within a rapidly evolving health care system.
Change is a constant, so our work supporting this complex matrix of business and systems needs must rise to the highest level of professionalism, collaboration, and innovation. That’s true for every role across the Medical Center and represents why this can be the most challenging work of your career.
Employee Testimonials
Vanessa Pantoja
Vanessa Pantoja
GME Program Coordinator
GME Program Coordinator
Dallas is the perfect size city for me. There are always amazing things to do in Dallas, from visiting the arts district, to museums, concerts, sporting events, and the state fair.
Brenda Edwards.
Brenda Edwards
Licensed Clinical Social Worker
Licensed Clinical Social Worker
UT Southwestern is a great place to work and learn. Innovation and creativity to improve the quality of patient care are encouraged. Leadership within my team and department is supportive.
Denise Anderson
Denise Anderson
GME Coordinator I
GME Coordinator I
I love working at UT Southwestern because of its great staff and great benefits. Everyday is extraordinary because there’s opportunity to expand your knowledge and advance your career.
