Utilization Management Asst
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Job Location:
Houston, MS - USA
Monthly Salary:
Not Disclosed
Posted on:
30+ days ago
Vacancies:
1 Vacancy
Job Summary
We are searching for a Utilization Management Assistant- Someone who receives processes and completes data entry of demographic information on all referral/authorization requests from participating providers via fax or phone. Assists and collaborates with all medical management staff as well as other health plan staff e.g. Claims Department Network Development. Provides customer service and education for all incoming calls regarding provider and/or product information.
Think youve got what it takes
Qualifications:
- H.S. Diploma or GED required
- 2 years managed care preferably in medical management department claims and member service preferred
- Experience in Healthcare or Insurance environment preferred
Responsibilities:
- Serves as support to Medical Management Intake Department
- Eligibility Confirmation
- Provider/Member Education
- Internal Collaboration
- Managed care preferably in medical management department claims and member service background helpful.
- Health care setting employment a plus.
- Utilizes resources available from TCHP or State Agencies. Reference may be made by phone or online. Dates must be referenced prior to authorizations.
Key Skills
- Academics
- CSSD
- Logistics Transportation
- Housekeeping
- Corrosion
About Company
Since 1954, Texas Children’s has been leading the charge in patient care, education and research to accelerate health care for children and women around the world. When you love what you do, it truly shows in the smiles of our patient families, employees and our numerous accolades suc ... View more
