Spectrum Healthcare Resources

Medical Assistant - Utilization Specialist (Remote)


PayCompetitive
LocationSeattle/Washington
Employment typeOther

This job is now closed

  • Job Description

      Req#: 23003
      Employer Industry: Healthcare Staffing and Management

      Why consider this job opportunity:
      - Opportunity for career advancement and growth within the organization
      - Supportive and collaborative work environment
      - Chance to make a positive impact on TRICARE beneficiaries
      - Engaging work that involves direct communication with medical providers and beneficiaries
      - Involvement in important utilization management processes within the military healthcare system

      What to Expect (Job Responsibilities):
      - Process authorization requests in the medical management system
      - Work with standard coding systems including ICD and CPT
      - Provide outreach for and receipt of medical records in support of utilization management processes
      - Communicate with departments, medical providers, and beneficiaries to clarify documentation prior to processing
      - Ensure compliance with HIPAA regulations to protect beneficiary information

      What is Required (Qualifications):
      - High School Diploma or G.E.D.
      - U.S. Citizen
      - Must be able to receive a favorable Interim and adjudicated final Department of Defense (DoD) background investigation
      - 3+ years of experience in an administrative or medical office
      - Proficient knowledge of medical terminology and data entry skills

      How to Stand Out (Preferred Qualifications):
      - Experience in a customer service healthcare environment
      - Medical Assistant diploma or certificate of completion or equivalent
      - Managed Care experience

      #Healthcare #MedicalAssistance #UtilizationManagement #CareerOpportunity #VeteranSupport

      "We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately. 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

      Spectrum Healthcare Resources (SHR) was established in 1988 and is a leading organization that provides clinical staffing services and...