Utilization Management Technician
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 Associate's Degree Preferred Minimum 1 year general office and/or customer service experience required.
Work experience in healthcare setting required.
Knowledge of medical terminology required 1 to 3 years Managed Care, Insurance, Call Center Experience Proficiency with Microsoft Office Suite (Word, Excel, Power Point).
Consistent word processing speed and accuracy of 50 or more words per minute.
Recommended Skills Call Centers Customer Service Health Care Insurance Management And Aftercare Managed Care Medical Terminology Estimated Salary: $20 to $28 per hour based on qualifications.
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 Associate's Degree Preferred Minimum 1 year general office and/or customer service experience required.
Work experience in healthcare setting required.
Knowledge of medical terminology required 1 to 3 years Managed Care, Insurance, Call Center Experience Proficiency with Microsoft Office Suite (Word, Excel, Power Point).
Consistent word processing speed and accuracy of 50 or more words per minute.
Recommended Skills Call Centers Customer Service Health Care Insurance Management And Aftercare Managed Care Medical Terminology Estimated Salary: $20 to $28 per hour based on qualifications.
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