Utilization Review Technician



Utilization Review Technician

Salary

$36,566.40 - $50,232.00 Annually

Location

Colton, CA

Job Type

Full-time

Job Number

18-21009-01

Department

Arrowhead Regional Medical Center

Opening Date

07/28/2018

Closing Date

8/10/2018 5:00 PM Pacific

The Job


 

Arrowhead Regional Medical Center is recruiting for Utilization Review Technicians who review and monitor medical records and recommend actions to assure patient care is appropriate, medically necessary and cost effective. Duties include: reviewing medical records to evaluate medical necessity of treatments to identify appropriate diagnosis and/or procedure codes and reimbursement rates for billing; monitoring patient records; analyzing medical reports; reviewing medical charts and preparing summaries and reports to justify services and procedures; and coordinating with and obtaining authorization from third party payers for care. In addition, duties may also include may include durable medical equipment and home health referral coordination. 

The current vacancies exist in the Patient Reception. The eligible list established by this recruitment may be used to fill future vacancies as they occur while the list remains active.

For more information, refer to the Utilization Review Technician job description.
 

CONDITIONS OF EMPLOYMENT

Applicants selected for these positions must pass a background investigation and verification of employment history and education.

Minimum Requirements

Experience: Six (6) months of experience reviewing patient medical records and obtaining authorization from third party payers in an acute care hospital OR one (1) year of experience processing justification for referrals in an outpatient specialty clinic setting such as Cardiology, Ophthalmology or Surgery.
 
Note: Family Practice clinic experience is not considered qualifying.

Desired Qualifications

English/Spanish bilingual skills are highly desired.

Selection Process

There will be a competitive evaluation of qualifications based on the information provided in the Application and the Supplemental Questionnaire. You are encouraged to include detailed descriptions of your qualifying experience and skills, as only the most highly qualified applicants will be referred to the Department.

Please click HERE for important Applicant Information and the County Employment Process.

Technical & Inspection Unit

The County of San Bernardino offers a range of benefit programs for employees and their eligible dependents.  These include health, dental, vision, and life insurance, as well as a variety of voluntary benefits. Programs and benefit amounts vary and are based on bargaining unit, family size, hire date, plan selection, and number of hours worked.

For a summary of benefits,* please click here.

Refer to the appropriate MOU, contact the County's Employee Benefits and Services Division at (909) 387-5787 or visit the Benefits website for more detailed information at hr.sbcounty.gov/employee-benefits/.

*Retirement benefits subject to change.

01
Experience: Indicate the type of experience you possess reviewing and monitoring medical records in an acute care hospital to assure appropriate, medically necessary and cost effective patient care.
  • Medical necessity
  • Appropriate diagnosis and/or procedure codes
  • Reimbursement rates for billing
  • Analyzing medical reports
  • Reviewing medical charts
  • Monitoring patient records
  • Preparing summaries and reports to justify services and procedures
  • Other
  • None
02
Experience: Indicate your experience with third party payers in an acute care hospital.
  • Coordinating care
  • Authorization for treatment
  • Authorization for admission
  • Authorization for continued stays
  • Other
  • None
03
Experience: Indicate the type of setting or Specialty Outpatient Clinic you have worked in processing justifications for referrals.
  • Cardiology
  • Ophthalmology
  • OB/Gyn
  • Oncology
  • Pediatrics
  • Surgery
  • Other
  • None
04
Coding Experience: Indicate which type of coding experience you possess.
  • International Classification of Diseases (ICD-10)
  • Current Procedural Terminology Manuals (CPT)
  • Other
  • None

Required Question

Agency
San Bernardino County
Address
175 West Fifth Street, 1st Floor

San Bernardino, California, 92415-0440
Phone
(909) 387-8304
TTY Users: 711