Utilization Management Assistant

Job Summary

Working remotely in a full-time capacity, the Utilization Management Assistant will support departmental staff by managing clerical activities, facilitating communication with insurance companies, and ensuring efficient information flow related to patient admissions and discharges.

Key responsibilities

• Perform office functions including answering calls, assisting with insurance inquiries, and maintaining supplies
• Collaborate with Utilization nurses to ensure timely documentation and communication with payers regarding authorizations and denials
• Maintain the Utilization Management SharePoint site and accurately manage the UMA work queue

Required qualifications

• High School Diploma or GED
• Minimum of 3 years of healthcare experience
• Proficiency in hospital computer systems and programs
• Experience with insurance portals and documentation processes
• Ability to handle sensitive and confidential information