Vakante Jobangebote finden Sie unter Projekte.
Utilization Management (UM) Coordinator Job
Eingestellt von Yoh
Gesuchte Skills: Client
Projektbeschreibung
Top Skills Should You Possess:
- Managed care coordination
- Prior Authorization Office experience
What You'll Be Doing:
- Processing inpatient and outpatient provider authorization requests
- Confirming member eligibility and benefit availability while focusing on the use of preferred providers
- Completing approvals with required documentation within regulatory timeframes
- Notify members and providers of determinations per requirements
What You Need to Bring to the Table:
- BA/BS Degree in related field preferred
- Two (2) plus years of experience in a managed care environment
- Experience utilizing managed care systems, regulations, CPT, ICD-9 and HCPCS codes
- Knowledge of ancillary and hospital based services and contracts
- Knowledge of healthcare claims processes, capitation, healthcare operations
- Experience with Microsoft Office
- Medical Assistant certification or IPA or Health Plan Experience preferred
OPPORTUNITY IS CALLING, APPLY NOW!
RECRUITER: Emi Flaherty
Yoh, a Day & Zimmermann company, is an Equal Opportunity Employer, M/F/D/V. Click here to contact us if you are an individual with a disability and require accommodation in the application process.
J2W: HC
MONJOBJ2WNWHLTH
Ref:
SFSF: HC
Projektdetails
-
Einsatzort:
Richmond, Vereinigte Staaten
-
Projektbeginn:
asap
-
Projektdauer:
Keine Angabe
- Vertragsart:
-
Berufserfahrung:
Keine Angabe
Geforderte Qualifikationen
-
Kategorie:
IT Entwicklung