Job Summary

A health insurance company has a current position open for a Remote Crisis Line Utilization Management Representative II.

Core Responsibilities Include:

• Managing incoming calls or incoming post services claims work.
• Determining contract and benefit eligibility
• Conducting a thorough radius search in Provider Finder and follows up with provider on referrals given

Position Requirements Include:

• Bachelor’s degree or equivalent
• 2 years customer service in healthcare related setting and medical terminology training
• De-escalation skills
• Motivational interviewing or similar skills
• Strong oral, written and interpersonal communication skills
• Problem-solving skills