Utilization Review Intake Specialist

Job Summary

A company is looking for a Utilization Review Intake Specialist (PST hours).

Key Responsibilities

• Answer and route incoming phone calls while providing accurate information regarding the pre-certification process
• Review and manage service requests efficiently, involving the appropriate department as needed
• Perform data entry, maintain documentation, compile reports, and meet productivity and quality requirements

Required Qualifications

• Associate degree preferred in business, management, or related field
• Prior experience in customer service and/or medical background
• Prior insurance and/or claims background
• Experience in a medical front office or hospital patient intake, or medical claims processing