24 Aug
|
Assembly Health
|
India
24 Aug
Assembly Health
India
Become an Assembler If you are looking for a company that is focused on being the best in the industry, love being challenged, and make a direct impact on our business, then look no further We are adding to our motivated team that pride themselves on being client-focused, biased to action, improving together, and insistent on excellence and integrity.
UR Coordinator
Were seeking a meticulous UR Coordinator with a strong working knowledge of medical necessity criteria for Spravato and TMS services, including familiarity with CMS, commercial payer, and MassHealth guidelines.
We are seeking a detail-oriented and highly knowledgeable UR Coordinator to join our team and manage the client insurance authorization processes. As a key team member, you will ensure timely submission of required clinical information and documentation, including medical necessity letters, progress notes, rating scales, and treatment plans. You will also work cross-functionally to coordinate with providers, clinical staff, and billing teams to ensure complete and accurate information is submitted in a timely manner.
You will be organized and thorough by frequently tracking and following up on authorization requests, denials, appeals, and renewal.
What You Will Do
- Obtain and manage prior authorizations for Spravato and TMS services from commercial and government insurance plans
- Ensure timely submission of required clinical documentation, including medical necessity letters, progress notes, rating scales, and treatment plans
- Review payer-specific medical policies to determine criteria for Spravato and TMS coverage
- Coordinate with providers, clinical staff, and billing teams to ensure complete and accurate information is submitted
- Frequently tracking and following up on authorization requests, denials, appeals, and renewals
- Maintain detailed records of payer communication, submission timelines, and authorizations received
- Provide support to current customers who are in their start-up p
📌 UR Coordinator (India)
🏢 Assembly Health
📍 India