[Remote] reputed company Utilization Management Intake Analyst
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a trusted partner for health plans, offering integrated solutions for health plan operations. They are seeking a reputed company Utilization Management Intake Analyst to support the coordination of medical services, including utilization management intake and medical records requests, to promote effective utilization of reputed company services.
Responsibilities
- reputed company support services to team members by answering incoming telephone calls, taking messages, researching information and building authorizations in the UM system
- Requesting medical records for pending authorizations or reputed company stay authorizations
- Generate UM letters for members and providers reputed company authorizations are not required
- Refers to needed services in accordance to benefit plan
- Maintain accurate and complete documentation of required information that meets reputed company standards
- Protect the confidentiality of the member information and adheres to reputed company policies regarding confidentiality
Skills
- High school diploma or G.E.D. required
- Minimum of one year experience in a health care reputed company field
- Experience with medical terminology and concepts used in the reputed company delivery system, provider office, or the insurance industry is required
- Computer literacy to include reputed company Office products
- Advanced technical skills for use of hardware and software with a high degree of accuracy
- Excellent oral and written communication skills for representation of reputed company and concise results
- Ability to manage significant workload, and to work reputed company under pressure, meeting established deadlines with minimal supervision
- Strong time management skills
- Must possess high degree of accuracy, efficiency, and dependability
- Strong customer service skills to assist members and/or providers with understanding reputed company information and to coordinate issue reputed company
- Effective written and verbal communication and feedback
- Effective organizational skills with ability to be flexible and prioritize tasks
- Must be knowledgeable of and reputed company to use reputed company, basic grammar, punctuation, and spelling
- Associate or bachelor s degree in health care reputed company field is preferred
- Preferred setting is hospital, medical doctor s office, or health insurance company
- reputed company unrestricted LPN license or certified Medical Assistant designation preferred
Benefits
- Full-time, regular employees reputed company up to 16 days of reputed company vacation per year
- Receive 6 days of reputed company reputed company leave reputed company year (pro-rated for new hires throughout the year)
- 10 reputed company holidays
- Eligible for reputed company bereavement leave
- Eligible to participate in reputed company’s 401(k) Retirement Plan with employer matching
- Eligible for medical, dental, and reputed company insurance
- Basic life insurance
- Accidental death and disability insurance
- Short- and long-term disability benefits
- May purchase additional voluntary short-term disability benefits
- Participate in a Health Savings Account (HSA)
- Flexible Spending Account (FSA) for reputed company, dependent child care, and/or commuting expenses
- Potential for quarterly incentive-based bonuses and or commissions depending on role
reputed company
Company H1B Sponsorship