Utilization Review Liaison Washington Hospital - 3.5 Fremont, CA Job Details $32.35 - $43.63 an hour 11 hours ago Qualifications Overseeing health insurance pre-certification Overseeing healthcare denial management Assisting medical staff Mid-level Healthcare referral management Clinical data entry Medical record retrieval Managing patient records Medical claim denial management Quality data entry Medical billing insurance follow-up

Full Job Description Salary Range:

$32.35 - $43.63 + applicable differentials Under the general supervision of the Director of Case Management, the Utilization Review (UR) Liaison is responsible for the assisting Utilization Review Case Managers. The UR Liaison is responsible for coordinating insurance reviews and issuance of authorization numbers through submission of required clinical information. The UR Liaison will work directly with all Case Management staff, Business Office, Patient Access, and along with the Hospital's Revenue Cycle to ensure quality and efficiency of certain elements of claims processing, denial prevention, and denial management. Provides office and referral management support services; assists the Utilization Review Team in obtaining medical records, documenting case information in the system, performing data entry into appropriate databases for monitoring and tracking, and following up on phone calls as directed. Continue to learn about clinical programs, processes, and changes May also perform office support functions as required In addition to performing the essential functions listed below, may also be assigned other duties as required.