Details

• Department: Ascension Insurance Support
• Schedule: Full-Time, Days, 8:00am-5:00pm CST, Partially Remote, occasional weekends.
• Facility: Ascension Care Management Insurance
• Location: Seton Administrative Offices, 1345 Philomena, Austin, Texas 78723-3210
• Salary: $23.60 - $31.92 (per hour)

Must reside near Austin, Texa


Benefits

Paid time off (PTO)

Various health insurance options & wellness plan

Retirement benefits including employer match plan

Long-term & short-term disability

Employee assistance programs (EAP)

Parental leave & adoption assistance

Tuition reimbursement

Ways to give back to your community

Benefit options and eligibility vary by position. Compensation varies based on factors including, but not limited to, experience, skills, education, performance, location and salary range at the time of the offer.


Responsibilities

As a Utilization Management Coordinator supporting our Ascension Insurance Utilization Management Gateway program, y ou will organize and coordinate office support functions, activities and workflow for assigned functional area or department. Please note this is a high production position which will require you to be telephonically in queue. Other responsibilities include:

• Responsible for processing precertification and referral requests for health care services.
• Verifying plan coverage/PCP, securing patient demographics, referring physician, current health status including clinical history/physical information, status of admission or discharge and requested procedures.
• Responsible for accuracy and completeness of precertification and referral information within the database in accordance with all compliance and regulatory requirements.
• Responsible for handling volume of inbound and outbound calling from and to providers and members as needed. Providing excellent customer service in handling these calls.
• Maintain a positive attitude while working in a dynamic, fast-paced environment.
• Adhere to all regulatory and delegation requirements, including turn-around time.

Requirements

Education:

• High School diploma equivalency OR 1 year of applicable cumulative job specific experience required.
  • Note: Required professional licensure/certification can be used in lieu of education OR experience,
    
    if applicable

Additional Preferences

Additional preferences:

• Associates degree or above preferred
• 2+ years of Health Insurance Utilization Management coordination experience
• 2+ years of Medical Referrals and Preauthorization experience in a Healthcare setting
• 2+ years experience in a high production environment in a Healthcare setting
• Strong knowledge of Medical Terminology
• Computer savvy and data entry skills
• Customer service expert with excellent organizational and time-management skills

#LI-Remote

#insurancejobs


Why Join Our Team

Ascension associates are key to our commitment of transforming healthcare and providing care to all, especially those most in need. Join us and help us drive impact through reimagining how we can deliver a people-centered healthcare experience and creating the solutions to do it. Explore career opportunities across our ministry locations and within our corporate headquarters.

Ascension is a leading non-profit, faith-based national health system made up of over 134,000 associates and 2,600 sites of care, including more than 140 hospitals and 40 senior living communities in 19 states.

Our Mission, Vision and Values encompass everything we do at Ascension. Every associate is empowered to give back, volunteer and make a positive impact in their community. Ascension careers are more than jobs; they are opportunities to enhance your life and the lives of the people around you.


Equal Employment Opportunity Employer

Ascension provides Equal Employment Opportunities (EEO) to all associates and applicants for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy, childbirth, and related medical conditions, lactation, breastfeeding, national origin, citizenship, age, disability, genetic information, veteran status, marital status, all as defined by applicable law, and any other legally protected status or characteristic in accordance with applicable federal, state and local laws.

For further information, view the EEO Know Your Rights (English) poster or EEO Know Your Rights (Spanish) poster.

As a military friendly organization, Ascension promotes career flexibility and offers many benefits to help support the well-being of our military families, spouses, veterans and reservists. Our associates are empowered to apply their military experience and unique perspective to their civilian career with Ascension.

Pay Non-Discrimination Notice

Please note that Ascension will make an offer of employment only to individuals who have applied for a position using our official application. Be on alert for possible fraudulent offers of employment. Ascension will not solicit money or banking information from applicants.


E-Verify Statement

This employer participates in the Electronic Employment Verification Program. Please click the E-Verify link below for more information.

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Responsibilities

As a Utilization Management Coordinator supporting our Ascension Insurance Utilization Management Gateway program, y ou will organize and coordinate office support functions, activities and workflow for assigned functional area or department. Please note this is a high production position which will require you to be telephonically in queue. Other responsibilities include:

• Responsible for processing precertification and referral requests for health care services.
• Verifying plan coverage/PCP, securing patient demographics, referring physician, current health status including clinical history/physical information, status of admission or discharge and requested procedures.
• Responsible for accuracy and completeness of precertification and referral information within the database in accordance with all compliance and regulatory requirements.
• Responsible for handling volume of inbound and outbound calling from and to providers and members as needed. Providing excellent customer service in handling these calls.
• Maintain a positive attitude while working in a dynamic, fast-paced environment.
• Adhere to all regulatory and delegation requirements, including turn-around time.

Qualifications

Education:

• High School diploma equivalency OR 1 year of applicable cumulative job specific experience required.
  • Note: Required professional licensure/certification can be used in lieu of education OR experience,
    
    if applicable