[Hiring] Utilization Management Technician @Amerihealth Caritas

Role Description

The Utilization Management Tech functions under the direction of the Supervisor to coordinate, generate and track both incoming and outgoing correspondence, faxes and authorizations related to prospective, concurrent and post service review functions.

• Interacts with facilities, vendors, providers, and other staff to facilitate receipt of information and/or records for prompt review and response.
• Compensation plans for physicians, licensed nurse reviewers, staff, and consultants who conduct medical management do not contain incentives, directly or indirectly, that encourage barriers to care and service in making determinations.

Qualifications

• High School/GED required.
• Associate’s Degree or equivalent education & experience preferred.
• Minimum of 1 year general office and/or customer service experience required.
• Work experience in healthcare setting required.
• Knowledge of medical terminology required.
• Minimum of 1 year experience in Managed Care, Insurance, or Call Center experience required.
• Proficiency with Microsoft Office Suite (Word, Excel, PowerPoint) required.
• Consistent word processing speed and accuracy of 50 or more words per minute required.

Requirements

• Remote role.
• Must live in EST or EST time zone.

Benefits

• Competitive pay.
• Paid time off including holidays and volunteer events.
• Health insurance coverage for you and your dependents on Day 1.
• 401(k).
• Tuition reimbursement and more.