Utilization Review Assistant

Mosaic Life Care • Saint Joseph, MO

1d • Onsite

About The Position

The Utilization Review Assistant is responsible for the administrative components of Utilization Management that primarily focuses on supporting the medical review process.

Requirements

• H.S. Diploma - or GED - Required
• Experience in healthcare, managed care, hospital, or clinical setting, or other comparable work experience. - Preferred
• Travel to off-site locations may be required. - Required
• Hand/eye coordination: speaks clearly; good hearing, ability to use computers, printers and telephone equipment
• Ability to work as a member of a team and develop trusting relationships quickly
• Excellent verbal and written communication skills including sensitivity to other cultures and ethnicities.
• Interpersonal Skills Essential
• Implements and provides ongoing support of members care plan, recognizes alternatives, identifying problems.
• Provides patient and family teaching about health related needs, financial needs and other coping issues.
• Concentrates on plans and roles of other team members, understanding all responsibilities and plans.
• Visual and hearing skills to obtain a driver’s license are required.
• Ability to communicate with members and families, communicating in person and on phone.
• Must have access to transportation

Responsibilities

• Responsible for communication of required healthcare documents to patients and/or representatives.
• Adhere to regulatory and compliance standards
• Understanding benefits including Medicaid and Medicare
• Work closely with utilization review staff, care managers and social workers to assist with any administrative responsibilities or needs.
• Documentation entry
• Phone and Voicemail retrieval
• Mail distribution within the department
• Worklist management
• Other duties assigned

What This Job Offers

• Career Level: Entry Level
• Education Level: High school or GED