Job Description
Job Description
PLEASE ATTACH THE ADDITIONAL REQUIREMENTS LISTED AT THE BOTTOM OF THIS PAGE Job ID: 30823
Agency: Department of Social Services / Human Services Center
Location:Yankton, SDSalary: $24.11 Hourly, depending on qualifications
Pay Grade: H
Closing Date: Open Until Filled
This is a Full-Time 40 Hours Weekly position with the Department of Social Services. For more information on the Department of Social Services, please visit .
Summary: This position offers opportunity to make a difference in our patients' lives; ensuring insurance company notifications are completed correctly and timely, benefit requirements are met, and benefits can be issued to cover charges while hospitalized. The Utilization Coordinator position will work with a variety of third-party payers, (private health insurance companies, state and federal agencies) and programs within the SD Human Services Center. This position requires a strong attention to detail and a focus on quality and compliance, ensuring patient records are complete and accurate upon discharge or transfer. This is a rewarding position supporting the mission of DSS and HSC in a non-direct patient care role and has the ability to positively affect patients with their insurance and third-party pay sources.
The Ideal Candidate Will Have: Excellent customer service skills, experience in medical prior authorization, utilization review, medical insurance requirements for continued stay, Health Information Management and release of information. Quality management and auditing practices. Business or health information related degree or certification preferred but not required.
Knowledge of: - hospital regulations outlined in SD Administrative rules, state statutes, and federal regulations;
- concepts related to patient's rights, confidentiality, and safety;
- medical terminology;
- electronic health record access, auditing, and quality assurance reviews;
- office equipment, including scanners, fax machine, multifunction copy machines, and phones;
- computer software applications.
Skills to: - interpret data and analytics and create easy to understand, meaningful reports;
- utilize quality improvement concepts and process;
- confidently communicate reports to committees to provide information and give assistance as needed.
Ability to:
- understand, comprehend, and apply local, state, and federal regulations in process improvement projects;
- work with electronic health record to export data to compile reports;
- show initiative, make decisions, resolve problems, and work independently with minimal supervision;
- analyze and evaluate data files to submit for Inpatient Psychiatric Facilities Quality Reporting requirements;
- schedule and manage work time by assigning appropriate priorities to projects and tasks to meet deadlines for report submissions both internally and externally;
- analyze and evaluate incident reports, communicate discrepancies to supervisors for follow up;
- prepare clear, concise documents with clearly organized thoughts consisting of detailed analysis of data and statistics.
Additional Requirements: To be considered, please attach your resume. This position is eligible for Veterans' Preference per ARSD 55:10:02:08.
Successful applicant(s) will be required to undergo a background investigation. An arrest/conviction record will not necessarily bar employment.
NCRC: If you possess a National Career Readiness Certificate, please submit the certificate with your application. For more information on how to acquire a National Career Readiness Certificate contact a South Dakota Department of Labor and Regulation Job Service Office. A certificate is not necessary to be considered.
The State of South Dakota does not sponsor work visas for new or existing employees. All persons hired will be required to verify identity and eligibility to work in the United States and complete an Employment Eligibility Verification, Form I-9. The State of South Dakota as an employer will be using E-Verify to complete employment eligibility verification upon hire.
The State of South Dakota offers $0 premium employee health insurance option plus eleven paid holidays, generous vacation and sick leave accrual, dental, vision, and other insurance options, and retirement benefits. You can view our benefits information at . This position is a member of Class A retirement under SDRS.
Must apply online:
You must apply online, emailed resumes or submissions will not be accepted.
South Dakota Bureau of Human Resources
Telephone: 605.773.3148 Email: careers@state.sd.us
"An Equal Opportunity Employer"
#LI-Onsite
Job Tags
Hourly pay, Holiday work, Full time, Local area, Work visa,