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Utilization Management Associate
Job Summary
A company is looking for a Utilization Management Associate.
Key Responsibilities:
- Monitor member eligibility
- Perform outreach calls to hospitals for follow-up clinical information and discharge info
- Process new admissions and communicate prior authorizations based on client specifications
Required Qualifications:
- 1-3 years of experience in customer service in a healthcare environment
- HS diploma or equivalent required, college degree preferred
- Insurance/payor experience preferred
- Working knowledge of healthcare terminology
- Proficiency in Microsoft Outlook, Excel, PowerPoint, and Word
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COMPLETE JOB DESCRIPTION
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