Utilization Management Assistant

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

📋 Description

• Respond to first-level calls related to Utilization Review for participants of HealthCheck360.

• Assess certification requests by examining group-specific criteria.

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

• Analyze medical records.

• Collaborate with healthcare providers.

• Ensure that patients receive suitable and cost-effective care in line with clinical guidelines and insurance requirements.

⛳️ Requirements

• Experience in a medical environment, such as receptionist, scheduler, insurance verification, LPN, CNA, or Medical Assistant roles, or a background in customer service.

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

• Experience in patient health support or care is beneficial.

• Minimum of 1 year of experience in this field.

• Excellent interpersonal skills to engage with patients, doctors, internal team members, and providers.

• Friendly attitude and capability to communicate sensitive information to members.

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

🏝️ Benefits

• Daytime office hours with weekends and holidays off.

• Medical, Dental, and Vision Insurance.

• Flexible Spending or Health Savings Account options.

• 401(k) plan with company matching.

• Profit-sharing/Defined Contribution plan (1-year waiting period applies).

• Paid Time Off and Paid Holidays.

• Company-funded Short-Term and Long-Term Disability insurance.

• Maternity Leave and Parental Leave benefits.

• Subsidized parking available.

• Company-sponsored Term Life and Accidental Death Insurance.

• Most benefits commence on the first day of employment.