TEMPORARY UTILIZATION MANAGEMENT COORDINATOR

*THIS IS A TEMPORARY POSITION FOR A MINIMUM OF SIX (6) MONTHS WITH THE POSSIBLITY OF BECOMING PERMANENT.

Full-time employees will enjoy a competitive benefits package with options for you and your family including:

The compensation and benefits information is accurate as of the date of this posting. The Company reserves the right to modify this information at any time, with or without notice, subject to applicable law.

Equal Opportunity Employer

Are you looking for a career you can feel good about? We hire only those that strive to do their best. By joining our family, you'll receive the honor and recognition that comes with working for the industry's global leader in evidenced based rehabilitation.

Who We Are:

GEO provides complementary, turnkey solutions for numerous government partners worldwide across a spectrum of diversified correctional and community reentry services. From the development of state-of-the-art facilities and the provision of management services and evidence-based rehabilitation to the post-release reintegration and supervision of individuals in the community, GEO offers fully diversified, cost-effective services that deliver enhanced quality and improved outcomes.

Why Work for GEO:

• At GEO, we believe that diversity in our workforce and the inclusion of a variety of views, perspectives, and backgrounds are integral parts of our company's success.
• We believe that work is more than a place you go every day. It is about being inspired and motivated to achieve extraordinary things.
• Employee benefits play an important role in making The GEO Group a great place to work. At GEO, we believe in the three pillars of employee wellbeing: physical, emotional, and financial. With comprehensive benefits and competitive wages, we trust that you will find all the resources you need here to be successful.

Summary:
The Utilization Management Coordinator provides non-clinical support for policies and procedures related to the administration of utilization management, ensuring the best and most appropriate treatment, care or services for our patients.

Primary Duties and Responsibilities:

• The Utilization Management Coordinator contacts providers via phone or fax to request additional information or clarification as needed by the established process.
• Communicates effectively with providers/vendors/facilities, both internally and externally, regarding the status of authorization requests. Takes phone calls or answers emails from providers/facilities regarding claims inquiries.
• The Utilization Management Coordinator tracks inbound faxes for clinical documentation and attaches them to hospital tracking database.
• Works with inbound and outbound faxes to build or update authorizations.
• Liaison between insurance companies and providers.
• The Utilization Management Coordinator documents all call information according to standard operating procedures and attaches clinical information when necessary.
• Monitors Provider Network Management.
• The Utilization Management Coordinator collaborates with leadership on continuous process improvement by vocalizing frontline opportunities and suggestions for improvements.
• Ensures compliance with and/or adheres to Company HIPAA policies and procedures.
• Performs other duties as assigned.

Minimum Requirements:

• Associate's degree in a Healthcare related field.
• One (1) year of experience working in a health care setting.
• One (1) year of experience with and knowledge of ICD-10, HCPCS, and CPT codes.
• One (1) year of experience with Utilization Review and/or Prior Authorization, preferably within a managed care plan setting.
• Proficient utilizing electronic medical record and documentation programs.
• Experience working in Microsoft Office software applications, specifically Word, Excel, and PowerPoint. Proficient and/or experience with medical terminology.
• Excellent verbal and written communication skills.
• Ability to adapt to change and pick up new skills quickly.
• Ability to navigate complex workflows while simultaneously working in multiple systems.
• An ability to quickly learn new systems and programs.
• Critical thinking and problem-solving skills.
• Must be passionate about contributing to an organization focused on continuously improving consumer experiences.

The GEO Group, Inc.