Utilization Management Phone Representative - UM (Remote) (4 Positions) - Position #2022-407

UTILIZATION MANAGEMENT PHONE REPRESENTATIVE - UM (REMOTE) (2 Positions) - Position #2022-407

Date Posted:
Classification:
Administrative
Type
Full Time
Location
OPEN UNTIL FILLED Redlands Monday - Friday 8:00a.m. - 5:00p.m.

Job Description

The Utilization Management Phone Representative works under minimum supervision to perform routine and complex clerical tasks; answers referral status and determination questions from patients, family members, health plans, and other clinic personnel. Also intakes verbal requests for organization determinations from patients or an appointed representative, and enters those requests into the Utilization Management referral system for processing. Ensures good internal and external public relations including coordination of communication between functional units within Utilization Management to improve customer service outcomes.

Qualifications

High School Diploma or equivalent. Customer Service Training preferred. One or more years of front office experience in medical office/clinic. Two or more years of managed care experience in medical office/clinic preferred. Appropriate English usage, spelling, grammar, punctuation; knowledge of basic arithmetic concepts; ability to operate standard office machines; basic application of CPT's.  Excellent telephone skills.  Ability to complete tasks in a timely and accurate manner; and compliance with department and organization policies and procedures.  Strong verbal/written communication and customer service skills. Bilingual a plus.

 

Beaver Medical Group requires all new hires and employees to report their COVID-19 vaccination status

 

Applications must be complete and demonstrate that the minimum qualifications are met. Resumes may be attached to completed application form as supplemental information, but will not be accepted in lieu of an official application form. Applications will be screened and the most qualified candidates who best match the needs of the position will be invited to compete further in the recruitment process.  Due to the large volume of applications received, we are unable to track for individual applications or discuss the application process.

 

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