You haven't searched anything yet.
Utilization Review Intake Specialist
HealthComp
Covington, LA
Now is the time to join us!
At Personify Health, we believe in offering total rewards, flexible opportunities, and a diverse inclusive community, where every voice matters.
Together, we’re shaping a healthier, more engaged future.
In this role you will wear many hats, but your knowledge will be essential in the following :
Answer and route all incoming phone calls
Provide accurate information to internal and external customers regarding pre-certification process, including gathering demographic, non-clinical, and / or provider data for pre-certification via phone, fax, inter / intranet, Eldorado / Case Pac computer programs
Review service requests and manage the requests as efficiently as possible involving the appropriate department as needed
Perform data entry and maintain complete documentation of case information; assist in document maintenance or revisions;
compile monthly reports; maintain logs and files
Be able to meet productivity, quality and turnaround time requirements on a daily, weekly and monthly basis
You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
What you bring to the Personify Health team :
In order to represent the best of what we have to offer you come to us with a multitude of positive attributes including :
You also take pride in offering the following Core Skills, Competencies, and Characteristics :
No candidate will meet every single desired qualification. If your experience looks a little different from what we’ve identified and you think you can bring value to the role, we’d love to learn more about you!
Personify Health is an equal opportunity organization and is committed to diversity, inclusion, equity, and social justice.
LI-REMOTE
Last updated : 2024-05-13
Full Time
Business Services
$76k-95k (estimate)
05/03/2024
06/21/2024
virginpulse.com
PROVIDENCE, RI
500 - 1,000
2004
Private
DAVID OSBORNE
$50M - $200M
Business Services
Virgin Pulse is a Rhode Island-based digital health management platform that offers solutions such as wellbeing, benefits lifecycle, and employee engagement for employers.
The job skills required for Utilization review specialist include Data Entry, Customer Service, etc. Having related job skills and expertise will give you an advantage when applying to be an Utilization review specialist. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Utilization review specialist. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Utilization review specialist positions, which can be used as a reference in future career path planning. As an Utilization review specialist, it can be promoted into senior positions as an Utilization Review Manager - Home Care that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Utilization review specialist. You can explore the career advancement for an Utilization review specialist below and select your interested title to get hiring information.
If you are interested in becoming an Utilization Review Specialist, you need to understand the job requirements and the detailed related responsibilities. Of course, a good educational background and an applicable major will also help in job hunting. Below are some tips on how to become an Utilization Review Specialist for your reference.
Step 1: Understand the job description and responsibilities of an Accountant.
Quotes from people on Utilization Review Specialist job description and responsibilities
Utilization Review Specialists ensure that Doctors and Nurses choose only the best treatments for them.
03/11/2022: Fort Myers, FL
Utilization review typically refers to the review of services that have already been delivered, while utilization management often refers to the review of coverage for future medical services.
02/16/2022: Louisville, KY
Assess plans for patient care and determine what treatment is appropriate and most cost-effective
02/15/2022: Augusta, GA
Analyze electronic medical records, and inform medical staff whether a medical claim is denied,
03/11/2022: Boston, MA
Prepares and submits regular reports on utilization control and on review activities.
02/26/2022: Reading, PA
Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.
Career tips from people on Utilization Review Specialist jobs
Know where to find utilization review jobs.
03/13/2022: Clarksville, TN
Create a utilization review cover letter.
02/18/2022: Reno, NV
Sign up for free credit monitoring.
03/16/2022: New London, CT
Set up documentation shortcuts.
03/05/2022: Lawton, OK
Take the certification examination.
05/08/2022: New Bedford, MA
Step 3: View the best colleges and universities for Utilization Review Specialist.