UTILIZATION MGMT SPEC, FCH - ENTERPRISE QUALITY CDI/UR/DM

Froedtert • Milwaukee, WI

16d • $21 - $29 • Remote

About The Position

The Utilization Management Specialist provides clerical support to the Utilization Review and Preauthorization teams to assist with patient transitions. Provides payor documentation through the provision of information to payors, documentation of authorizations and payor clinical information requests in the electronic health record.

Requirements

• A minimum of three (3) years of related experience is required.
• High School diploma or equivalent is required.
• Analytical skills necessary to obtain information from patients and families, external customers, and ability to interact professionally with internal and external customers including hospital personnel and peers.
• Good organizational skills.
• Excellent communication skills.
• Effective application of Microsoft Office products, document imaging.

Nice To Haves

• Experience working in a hospital billing office and/or admitting, health insurance and managed care program, Medicare and managed care denial management experience, preferred.
• Billing and clinical coding or medical terminology coursework, preferred.
• Associate or Bachelor's degree in healthcare related field, preferred.

Benefits

• Paid time off
• Growth opportunity- Career Pathways & Career Tuition Assistance, CEU opportunities
• Academic Partnership with the Medical College of Wisconsin
• Referral bonuses
• Retirement plan - 403b
• Medical, Dental, Vision, Life Insurance, Short & Long Term Disability, Free Workplace Clinics
• Employee Assistance Programs, Adoption Assistance, Healthy Contributions, Care@Work, Moving Assistance, Discounts on gym memberships, travel and other work life benefits available

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 501-1,000 employees