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Utilization Management Rep - Remote to Indiana

salary Salary :

$17.5 - 18.5 hourly

icon briefcase Job Type : Full Time
icon remote-alt Remote / Work from Home

Number of Applicants

 : 

000+

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Job Description - Utilization Management Rep - Remote to Indiana


We are looking for a utilization management representative to join our team. This position is a remote role but you must live within 50 miles of Indianapolis, IN to be eligible. This role is Monday - Friday 8am- 5pm EST and the pay for this role is $18.50/hr.

  • Responsible for coordinating cases for precertification and prior authorization review
  • Managing incoming calls or incoming post services claims work.
  • Determines contract and benefit eligibility
  • Provides authorization for inpatient admission, outpatient certification, and post service requests
  • Refers cases requiring clinical review to a nurse reviewer
  • Responsible for the identification and data entry of referral requests into the UM system
  • Responds to telephone and written inquiries from clients, providers and in-house departments
  • Other duties as assigned

Requirements

Requires:

  • HS Diploma/GED
  • Minimum 1 year of customer service experience
  • Medical terminology training and experience in the medical or insurance field is preferred
  • Needs to have strong oral, written and interpersonal communication skills, problem-solving skills, and analytical skills

Salary Description

$18.50/hr

Original job Utilization Management Rep - Remote to Indiana posted on GrabJobs ©. To flag any issues with this job please use the Report Job button on GrabJobs.
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