Job Summary
A healthcare company has an open position for a Remote Utilization Management Representative I in Norfolk.
Core Responsibilities Include:
- Managing incoming calls or incoming post services claims work
- Referring cases requiring clinical review to a Nurse reviewer
- Conducting clinical screening process
Applicants must meet the following qualifications:
- Requires High school diploma/GED
- 1 year of customer service or call-center experience
- Must have proficient analytical, written and oral communication skills
- Requires strong problem-solving skills and facilitation skills