Coordinator, Medical/UR Services
York Risk Services Group is a premier provider of insurance, risk management, alternative risk, pool administration and claims management solutions to clients across hundreds of industries. Recently named by Forbes as one of "America's Best Midsized Companies Two Years in a Row" We firmly believe that our employees drive the success of the company. With success in mind as the ultimate goal, we strive to create and provide an environment that offers challenging, stimulating and financially rewarding opportunities.
To timely enter requests for medical care submitted by Medical Providers, Facilities, Claim Staff, or Nurse Case Managers, or other customers determined by Jurisdiction Rules. Entered cases are routed to appropriate Utilization Review Nurse (based on client or Jurisdiction) and reviewed with treatment guidelines and State Specific time frames.
Identify the appropriate jurisdiction and client on each request assigned.
Follow special instructions for the Jurisdiction and/or Client.
Enter accurate demographic information and timely assign to the appropriate UR staff based on Instruction list for Jurisdiction/Client
Ability to multi-task with several claim management systems being used simultaneously
Clearly document any special instructions
Customer service-internal and external
Interface with UR Nurses/Medical Director/Claim Staff and team members