Utilization Management Assistant

This is a fully remote position, open to applicants in Iowa.

📋 Description

• Respond to initial calls for Utilization Review regarding Health & Wellness participants.

• Assess certification requests by analyzing specific group requirements.

• Direct calls to determine the necessity of a Utilization Review Nurse.

• Examine medical records thoroughly.

• Collaborate with healthcare providers effectively.

• Guarantee that patients receive suitable and cost-efficient care according to clinical guidelines and insurance standards.

⛳️ Requirements

• Proven experience in a healthcare environment, including roles such as receptionist, scheduler, insurance verifier, LPN, CNA, or Medical Assistant.

• A background in supporting or caring for patients' health.

• A minimum of 1 year of experience in this field.

• Preference for candidates with CNA, LPN, or Medical Assistant qualifications.

• Excellent interpersonal abilities.

• Strong customer service orientation and a friendly attitude.

• High level of accuracy and attention to detail when assessing pre-certifications and plans.

🏝️ Benefits

• Medical, Dental, and Vision Insurance.

• Flexible Spending Account or Health Savings Account.

• 401(k) plan with company matching contributions.

• Profit-Sharing/Defined Contribution after a one-year waiting period.

• Paid Time Off and Paid Holidays.

• Company-sponsored Short-Term and Long-Term Disability.

• Maternity and Parental Leave provided.

• Subsidized Parking available.

• Company-funded Term Life and Accidental Death Insurance.

• Most benefits commence on the first day of employment.

• Daytime office hours with weekends and holidays off.