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Utilization Review Intake Specialist
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Job Description
- Req#: 4428
Employer Industry: Healthcare Services
Why consider this job opportunity:
- Competitive base salary ranging from $15 to $18 per hour
- Flexible work arrangements with reduced hours and weekend availability
- Comprehensive medical and dental coverage available from day one
- Unlimited PTO policy to ensure work-life balance
- Opportunities for professional development and career progression
- Collaborative and inclusive company culture that values every voice
What to Expect (Job Responsibilities):
- Serve as the initial point of contact for pre-certification inquiries, providing accurate information to members
- Collect essential demographic, non-clinical, and provider data for pre-certification using various communication methods
- Analyze and route service requests efficiently to ensure timely processing
- Maintain accurate documentation and case information while assisting with reports
- Manage high volumes of customer interactions while ensuring quality service and organization
What is Required (Qualifications):
- Associate degree preferred in business, management, or a related field
- Prior experience in customer service and/or medical background
- Proficiency in Microsoft Excel, Word, and Outlook
- Accurate data entry skills with a minimum typing speed of 40 words per minute
- Strong written and verbal communication skills to interact with diverse customers
How to Stand Out (Preferred Qualifications):
- Prior insurance and/or claims background
- Experience in medical front office, hospital patient intake, or medical claims processing
- Knowledge of medical terminology, including ICD-10, CPT, and HCPCS coding
- Ability to navigate various computer software programs for data collection
- Flexibility to adapt to changing priorities and operational needs
#HealthcareServices #CustomerSupport #FlexibleWork #ProfessionalDevelopment #InclusiveCulture
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