Authorization Coordinator - Coordinated Care

Hello,

Thank you for your interest in career opportunities with the University of Mississippi Medical Center. Please review the following instructions prior to submitting your job application:

Provide all of your employment history, education, and licenses/certifications/registrations. You will be unable to modify your application after you have submitted it.

You must meet all of the job requirements at the time of submitting the application.

You can only apply one time to a job requisition.

Once you start the application process you cannot save your work. Please ensure you have all required attachment(s) available to complete your application before you begin the process.

Applications must be submitted prior to the close of the recruitment. Once recruitment has closed, applications will no longer be accepted.

After you apply, we will review your qualifications and contact you if your application is among the most highly qualified. Due to the large volume of applications, we are unable to individually respond to all applicants. You may check the status of your application via your Candidate Profile.

Thank you,

Human Resources

Important Applications Instructions:

Please complete this application in entirety by providing all of your work experience, education and certifications/

license. You will be unable to edit/add/change your application once it is submitted.

Job Requisition ID:

R00041328

Job Category:

Clerical and Customer Service

Organization:

Utilization Review

Location/s:

Main Campus Jackson

Job Title:

Authorization Coordinator - Coordinated Care

Job Summary:

Works very closely with coordinated care department leadership team to complete chart audits, ensure regulatory compliance of conditions of participation. Communicates with coordinated care staff on any requested payor communication requests to ensure timely submission of clinical information for reimbursement; monitors denials to assist in facilitation of per to peer review for overturn of concurrent denials.

Education & Experience

Associate's degree or equivalent combination of related education and experience.

Certifications, Licenses or Registration Required: NA

Knowledge, Skills & Abilities

Time management, proficient with computer programs such as Microsoft office, Vizio, Excel skills or other computer related skills. Ability to read handwritten or typed information, write, comprehend and use verbal communication. Ability to operate computer keyboard with data entry skills, ability to operate fax machine, ability to operate telephone/cell phone.

RESPONSIBILITIES

Audits important message from Medicare (Adults, pediatrics, Grenada & Holmes county)

Conducts chart reviews/audits (Adults, pediatrics, Grenada & Holmes county)

Monitors and tracks outside turn a round time on outside agency referrals on inpatients.

Monitors and tracks long term acute care referrals.

Denials management (Adults, pediatrics, Grenada & Holmes county)

Audits medicare observation notice compliance (Monitors BCBS high trim report length of stay report (Adults, pediatrics, Grenada & Holmes county)

Monitors BCBS high trim report length of stay report (Adults, pediatrics, Grenada & Holmes county)

Prepares census/discharge reports for morning huddle.

Updates and fax clinical to insurance companies; updates ins account info in EPIC for authorized and denied days. Collaborates with staff to facilitate record submissions to pay or and coordination peer to peer for overturn of denial.

Insurance communication and notification of discharge and authorizations.

The duties listed are general in nature and are examples of the duties and responsibilities performed and are not meant to be construed as exclusive or all-inclusive. Management retains the right to add or change duties at any time.

Physical and Environmental Demands

Requires occasional working hours significantly beyond regularly scheduled hours, occasional activities subject to significant volume changes of a seasonal/clinical nature, occasional bending, occasional lifting and carrying up to 25 pounds, occasional crouching/stooping, occasional driving, occasional kneeling, occasional reaching, constant sitting, frequent standing, occasional twisting, and frequent walking. (occasional-up to 20%, frequent-from 21% to 50%, constant-51% or more)

Time Type:

FLSA Designation/Job Exempt:No

Pay Class:

Hourly

FTE %:

100

Work Shift:

Benefits Eligibility:

Grant Funded:

Job Posting Date:

05/7/2025

Job Closing Date (open until filled if no date specified):

05/10/2025

R00041328