Utilization Mangement Technician
About The Position
The Utilization Management Technician works under the direction of the Supervisor to coordinate, generate, and track incoming and outgoing correspondence, faxes, and authorizations related to prospective, concurrent, and post-service review functions. The technician interacts with facilities, vendors, providers, and other staff to facilitate receipt of information and records for prompt review and response. Compensation plans for physicians, licensed nurse reviewers, staff, and consultants conducting medical management do not include incentives, directly or indirectly, that encourage barriers to care and service in making determinations. This is a hybrid position based in the Washington, D.C. metro area. The schedule is Monday through Friday, 9:30 a.m. to 5:00 p.m. EST, with four days per week in the D.C. office at 1201 Maine Ave SW and one day remote. Associates are responsible for commuter costs, and the company offers a commuter benefit program. Hybrid associates must have reliable high-speed internet with at least 50 Mbps download and 5 Mbps upload.
Requirements
- High school diploma or GED.
- At least one year of general office and/or customer service experience.
- Work experience in a healthcare setting.
- Knowledge of medical terminology.
- At least one year of experience in managed care, insurance, or a call center.
- Proficiency with Microsoft Office Suite, including Word, Excel, and PowerPoint.
- Consistent word-processing speed and accuracy of at least 50 words per minute.
- Must reside in the D.C. metro area.
- Reliable high-speed internet with minimum bandwidth of 50 Mbps download and 5 Mbps upload.
Nice To Haves
- Associate’s degree or equivalent education and experience.
Responsibilities
- Coordinate, generate, and track incoming and outgoing correspondence, faxes, and authorizations related to prospective, concurrent, and post-service review functions.
- Interact with facilities, vendors, providers, and other staff to facilitate receipt of information and records for prompt review and response.
Benefits
- Commuter benefit program
- Annual incentive program
- Medical insurance
- Vision insurance
- Dental insurance
- Life insurance
- Disability insurance
- 401(k)
- Paid time off
- Paid holidays
- Paid volunteer events
- Tuition reimbursement
- Flexible work solutions, including remote options and hybrid work schedules
- Health insurance coverage for associates and dependents beginning on Day 1
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
