Utilization Management Assistant

Job Summary

Supporting the Utilization Management team in a full-time remote capacity, the Utilization Management Assistant will manage clerical activities, facilitate communication with insurance companies, and ensure timely information transfer to payers while handling sensitive data.

Key responsibilities:

• Perform office functions including answering calls, maintaining supplies, and collecting information from source documents
• Collaborate with Utilization nurses to ensure timely documentation of authorizations and communicate patient progress throughout the workday
• Maintain the Utilization Management SharePoint site and serve as a resource for departmental staff regarding insurance contacts

Required qualifications:

• High School Diploma or GED
• Minimum of 3 years of healthcare experience
• Competency in accessing and documenting in hospital computer systems
• Experience with insurance portals and release of information processes
• Ability to develop positive relationships with physicians and office staff