Utilization Review Liaison

Coordinate insurance reviews and issue authorization numbers by submitting required clinical information. Assist Utilization Review Case Managers with office and referral management support, including obtaining medical records, documenting case information, performing data entry into databases, and following up on phone calls. Work directly with Case Management staff, Business Office, Patient Access, and the Hospital's Revenue Cycle to ensure quality and efficiency in claims processing, denial prevention, and denial management. Continue learning about clinical programs, processes, and changes. May also perform other office support functions as required.