Utilization Management Technician
About The Position
The Utilization Management Tech functions under the direction of the Supervisor to coordinate, generate and track both incoming and outgoing correspondence, faxes and authorizations related to prospective, concurrent and post service review functions. Interacts with facilities, vendors, providers, and other staff to facilitate receipt of information, and /or records for prompt review and response. Compensation plans for physicians, licensed nurse reviewers, staff, and consultants who conduct medical management do not contain incentives, directly or indirectly, that encourage barriers to care and service in making determinations.
Requirements
- High School/GED required.
- Minimum of 1 year general office and/or customer service experience required
- Work experience in healthcare setting required
- Knowledge of medical terminology required
- Minimum of 1 year experience in Managed Care, Insurance, or Call Center experience required
- Proficiency with Microsoft Office Suite (Word, Excel, PowerPoint) required.
- Consistent word processing speed and accuracy of 50 or more words per minute required
- Must live in EST or EST time zone
Nice To Haves
- Associate’s Degree or equivalent education & experience preferred
Responsibilities
- Coordinate, generate and track both 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 /or records for prompt review and response.
Benefits
- Competitive pay
- Paid time off including holidays and volunteer events
- Health insurance coverage for you and your dependents on Day 1
- 401(k)
- Tuition reimbursement
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
