UR Specialist- Utilization Review

CarolinaEastNew Bern, NC
Onsite

About The Position

Responsible for coordination of the day to day insurance related activities and provides direct support to the Utilization Review Department.

Requirements

  • High School Diploma or higher degree required
  • Three to five years’ experience of pre-cert, utilization review, denial/appeals or billing
  • Proficiency in Microsoft Office applications including Excel, PowerPoint and Word
  • Excellent verbal and written communication skills
  • Deliver outstanding customer service that upholds CarolinaEast's Standards of Excellence.

Nice To Haves

  • Knowledge of APC coding and DRGs preferred

Responsibilities

  • Coordination of the day to day insurance related activities
  • Provides direct support to the Utilization Review Department

Benefits

  • Robust benefits package to all full-time employees
  • Benefits for part-time plus and part-time staff
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