Mindlance
Health Services - Coord, Utilization Mgmt I
This job is now closed
Job Description
- Req#: 24-04143
Employer Industry: Healthcare Services
Why Consider this Job Opportunity:
- Competitive pay up to [highest pay]
- Opportunity for career advancement and growth within the organization
- Supportive and collaborative work environment
- Chance to make a positive impact on client satisfaction and member experience
- Work-life balance with flexible remote work options
- Comprehensive benefits package including healthcare coverage and retirement plans
What to Expect (Job Responsibilities):
- Perform administrative tasks and responsibilities related to pre-service, utilization review, care coordination, and quality of care
- Provide member or provider related administrative support, including benefit verification, authorization management, claims inquiries, and case documentation
- Review authorization requests and triage for clinical review and resolution
- Assist with reporting, data tracking, and organization of information related to Continuity of Care process and Peer to Peer reviews
- Provide general support and coordination services for the department, including answering phone calls, responding to inquiries, researching information, and problem-solving
What is Required (Qualifications):
- High School Diploma or equivalent
- 3 years of experience in healthcare claims/service areas or office support
- Ability to effectively participate in a multi-disciplinary team and demonstrate excellent communication, organizational, and customer service skills
- Knowledge of basic medical terminology and concepts used in managed care
- Proficiency in using web-based technology and Microsoft Office applications such as Word, Excel, and PowerPoint
How to Stand Out (Preferred Qualifications):
- 2 years of experience in a healthcare/managed care setting or previous work experience within the division
- Knowledge of CPT and ICD-10 coding
#HealthcareServices #CareerOpportunity #CompetitivePay #WorkLifeBalance #RemoteWork
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We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.About the company
Mindlance is one of the largest diversity-owned staffing firms in the US . As a recruitment centric talent acquisition company, Mindlance provides Technology, Engineering, Digital / Creative / Marketing, Clinical Research, Scientific, Finance, Professional and Payroll Management staffing services to Global 1000 companies across the US, Canada and India.
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