Challenges of a Utilization Review Coordinator
Many treatment centers, both for-profit and not-for-profit, have discovered that onboarding an experienced Utilization Review Coordinator bridges the gap between Admissions, Accounting, and Clinical departments. Having a trained staff member that can interact with a payer and provide documentation of medical necessity is one of the wisest staffing decisions a facility can make. If you are frustrated with poor results from having an outside billing company fill these shoes consider what it takes to have that person on staff. This does not mean you have to do your own billing, but it does pave the way to control a bit more of the outcome.