Utilization Review Coordinator Salary in San Antonio, Texas

To get your salary data, use the search bar below or browse by job, city, or state.
loading...

Job title is required

loading...

Job location is required.

Average Salary for Utilization Review Coordinator in San Antonio, Texas

The average salary of a(n) Utilization Review Coordinator in San Antonio, Texas is $94,414.

The average hourly rate of a(n) Utilization Review Coordinator in San Antonio, Texas is $45.39.

The average bonus of a(n) Utilization Review Coordinator in San Antonio, Texas is $5,325.00.

Job Description:

Analyzes and evaluates patients' medical records, charts, computer printouts, and support documents to ensure criteria for admission to health-care facility, treatment, and length of stay are met, and to ensure cost effective utilization of resources, according to established criteria: Analyzes insurance, governmental, and accrediting agency standards to determine criteria concerning admissions, treatment, and length of stay of patients. Reviews admission records, medical records, charts, and supporting documentation to establish reason for admission, diagnosis, and length of stay. Approves admission or refers case to facility utilization review committee for review and course of action when case fails to meet admission standards. Determines necessity, cost effectiveness, and documentation of treatment and care provided, utilizing coding and classification manuals, insurance, governmental, and accrediting agency regulations and standards to determine that established criteria for admission and care have been met. Reviews pre-certification request and application for admission, calculates estimated cost of prescribed medical treatment, prepares required paperwork, and approves admission based on predetermined criteria for pre-hospitalization request from health providers or insurance subscribers. Monitors health care treatment provided to patient during patient's stay in medical facility and compares inpatient medical records to established criteria and confers with medical personnel and other professional staff to determine legitimacy of treatment and length of stay, to ensure services are within prescribed limitations, to ensure availability of future benefits, and to guard against potentially abused medical procedures and diagnoses. Retrieves medical data from medical records, charts, and computer, and abstracts required data from records to use in compiling reports and for statistical purposes. Acts as liaison for insurance provider, contractors, and subscribers to explain and interpret provisions of contractual agreements and health benefits and to process complaints. May assist review committee to plan and conduct federally mandated quality assurance reviews. May direct activities of utilization review staff. May conduct telephone reviews to ensure that patient admission to provider facility meets established criteria. May interview patient to obtain medical history information and determine necessity of treatment. Less

Analyzes and evaluates patients' medical records, charts, computer printouts, and support documents to ensure criteria for admission to health-care facility, treatment, and length of stay are met, and to ensure cost effective utilization of resources, according to established criteria: Analyzes... More

How helpful is this page?

Are you a(n) Utilization Review Coordinator?

Get a more personalized salary report now. Get Report

Average Salaries for Similar Jobs in San Antonio, Texas

Job Openings by Indeed job search

Results for Utilization Review Coordinator in San Antonio, Texas

Case Management Coordinator - San Antonio, TX

Ensign Services

Review BPCI program process and outcomes performance to drive performance.5. Assisting in the development of case management metrics to identify opportunities...

View job on Indeed.com

Program Coordinator I - San Antonio, TX

Superior Health Plan

Thorough knowledge of customer service, utilization review or claims processing practices in a managed care environment and operation of office equipment such...

View job on Indeed.com

Coordinator, Bone MarrowTransplant - San Antonio, TX

Methodist Hospital

Gathers and reviews all pertinent clinical information (including past treatments and outcomes) and presents this to the transplant physician with special notes...

View job on Indeed.com

Disaster Case Management Program Manager - San Antonio, TX

BCFS Health and Human Services

Training and Credentialing Coordinator, Data Management Coordinator; Screening and Recruiting Coordinator; Oversees quality assurance and utilization review...

View job on Indeed.com

Department Support Assistant II - San Antonio, TX

Christus Health

FLSA Review Date:. Receive and process demographic/clinical information for all referral and authorization requests from providers via electronic right fax as...

View job on Indeed.com

Discover How Much You
Should Be Paid

Work in Compensation or HR?    x