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.
Education/Experience:
- High School/GED required.
- Associate's Degree or equivalent education & experience preferred.
- Minimum of 1 year of general office and/or customer service experience preferred.
- Work experience in utilization management/review in a healthcare/MCO setting preferred.
- Knowledge of medical terminology preferred.
- Minimum of 1 year experience in Managed Care, Insurance, or Call Center preferred.
- Proficiency with Microsoft Office Suite (Word, Excel, PowerPoint) required.
Our Comprehensive 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 and more.