Utilization Review Coordinator
Job Location:
Hourly Salary:
Posted on:
Vacancies:
Job Summary
Our Story
Imagine being part of a team thats not just shaping the future but actively driving it. At Davies North America were at the forefront of innovation and excellence blending cutting-edge technology with top-tier professional services. As a vital part of the global Davies Group we help businesses navigate risk optimize operations and spearhead transformation in the insurance and regulated sectors.
We are looking for a Utilization Review Coordinator to provide Utilization Review administrative assistance to nurses along with providing clerical support per guidelines for Initial Requests for referrals for specialists.
Key Responsibilities
- Follow workflow expected of UR Coordinator according to company and client protocols and production standards:
- Coordinate scheduling of specialist referrals that have been approved by the UR Specialists.
- Follow Rapid Response protocol established by client to authorize initial PT initial diagnostics and initial referrals to a specialist upon receipt of referral on all new claims.
- Document initial actions in Corrus using correct grammar spelling and sentence structure.
- May act as back-up assistance for Triage Department and CMA Department.
- Perform other duties as needed.
Skills knowledge & expertise
- High school diploma.
- A minimum of one year of medical terminology/medical office experience.
- Have a working knowledge of appropriate states Workers Compensation system and the statutes.
- Medical terminology knowledge.
- Experience dealing with medical provider offices.
- Data entry proficiency and computer skills Word Excel.
- Excellent organizational skills.
- Detail orientated and motivated.
- Ability to work in fast-paced environment and utilize critical thinking skills to ensure proactive outcomes.
- Ability to effectively operate a personal computer and related claims and business software.
- Good communication skills both oral and written.
- Team player.
- Good attendance.
- Good customer service skills.
Equal Employment Opportunity & Legal Notices
Benefits
At Davies North America we are dedicated to supporting the wellbeing and future of our qualifying employees. Our comprehensive benefits package includes:
- Medical dental and vision plans to support your health and that of your family
- A 401(k) plan with employer matching
- Timeoff policies including Discretionary Time Off (DTO) for exempt employees and Paid Time Off (PTO) for nonexempt employees
- Paid holidays
- Life insurance and shortterm and longterm disability coverage
Benefit offerings eligibility and required employer contributions may vary based on role classification and applicable federal state and local laws including those tied to an employees primary work location.
Where required by law the Company provides paid sick leave paid family and parental leave and other mandated benefits in accordance with applicable state and local requirements.
Diversity and Inclusion
Davies is dedicated to fostering a diverse and inclusive workplace that embraces a wide range of perspectives and experiences. We believe that diversity of thought is essential for innovation and creativity and we actively promote an environment where all voices are valued and heard.
Compensation Transparency:
The salary range listed reflects the full compensation band for this role across all locations. Actual compensation will be based on factors such as skills experience qualifications and geographic location which may impact the final offer. We share ranges to remain transparent and consistent with pay equity practices.
Background Check & Fair Chance Compliance
Compensation Transparency:
The salary range listed reflects the full compensation band for this role across all locations. Actual compensation will be based on factors such as skills experience qualifications and geographic location which may impact the final offer. We share ranges to remain transparent and consistent with pay equity practices.
Background Check & Fair Chance Compliance
Any background check or review of criminal history if applicable to the role will be conducted only after a conditional offer of employment and in compliance with applicable federal state and local laws including fairchance hiring requirements.
Massachusetts Notice
It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.
Massachusetts Notice
It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.
Required Experience:
IC
