Oregon Licensed Utilization Review Specialist

Job Summary

A company is looking for a Utilization Review Specialist to support the intake and processing of prior authorizations in compliance with regulatory requirements.

Key Responsibilities

• Provide support for the prior authorization process and manage incoming requests
• Communicate with healthcare providers to clarify documentation and resolve issues
• Track prior authorization requests and maintain compliance with regulations

Required Qualifications

• High school diploma or equivalent
• Proficient in Microsoft Office Suite and data entry
• Experience with standard office equipment and systems
• Typing speed of at least 45 words per minute with high accuracy
• No suspensions or exclusions from federal healthcare programs