[Hiring] Utilization Management Assistant @Cottingham & Butler

Role Description

Are you passionate about patient care and thrive in a fast-paced, professional environment? We are seeking a dedicated Utilization Management Assistant to join our healthcare team. We are looking for individuals with experience in a medical setting, including but not limited to:

• Receptionist
• Scheduler
• Insurance verification
• LPN
• CNA
• Medical Assistants
• Customer service background

If you are looking to get into a professional office setting with daytime office hours and weekends/holidays off, this is the role for you!

The Utilization Management Assistant answers first level calls in Utilization Review for our Health & Wellness participants. They will evaluate certification requests by reviewing the group specific requirements and will also triage the call to determine if a Utilization Review Nurse is needed to complete the call. You will be responsible for:

• Reviewing medical records
• Coordinating with healthcare providers
• Ensuring that patients receive appropriate, cost-effective care in accordance with clinical guidelines and insurance requirements

Qualifications

• CNA, LPN, or Medical Assistant preferred
• Background in patient health support or care
• 1+ years of experience within this field

Requirements

• Strong interpersonal skills to connect with patients, doctors, internal team members, and providers
• Friendly demeanor and understanding to relay sensitive information to members
• Accuracy and attention to detail when reviewing pre-certifications and plans

Benefits

• Most benefits start day 1
• Medical, Dental, Vision Insurance
• Flex Spending or HSA
• 401(k) with company match
• Profit-Sharing/Defined Contribution (1-year waiting period)
• PTO/Paid Holidays
• Company-paid ST and LT Disability
• Maternity Leave/Parental Leave
• Subsidized Parking
• Company-paid Term Life/Accidental Death Insurance