Utilization Management Assistant
About The Position
The Utilization Management Assistant plays a crucial supporting role within the Utilization Management department, primarily responsible for facilitating the UM review process, and ensuring timely and accurate submission of clinical documentation. This position performs essential administrative, clerical, and communication tasks to support the Utilization Review Nurses, ensuring compliance with regulatory requirements and payer guidelines. The UM Assistant helps to ensure appropriate resource utilization while maintaining high standards of patient care. The UM Assistant must have effective communication skills, both verbal and written, strong organization skills, follow-through abilities and time management skills, solid problem solving and decision-making skills, demonstrates flexibility and assertiveness, and have a strong knowledge of computers and various programs, such as Microsoft Suite productsWord, Excel, etc.
Requirements
- High school diploma and/or equivalent combination of education and experience
- 1+ years Utilization Management, Case Management, Revenue Cycle, or a Medical Billing/Coding department is required.
- Medical terminology and clinical documentation are essential.
- American Heart Association recognized BLS - Healthcare Provider within 3 months of hire
Nice To Haves
- Associate's degree in a healthcare-related field, Medical Office Administration, or Business Administration preferred.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
Number of Employees
1,001-5,000 employees
