Utilization Management Rep I

About the role

• Job Title: Utilization Management Rep I
• Client Location: 11 Corp. Woods Blvd. Albany NY 12211
• Contract Duration: 06+ months contract position

Work Timings: Training 8:30 - 5 and work schedule 10:30 - 7.

Pay rate: $ 16.25 /hr

Summary

Responsible for coordinating cases for precertification and prior authorization review.

Major Job Duties and Responsibilities

• Primary duties may include, but are not limited: Managing incoming calls or incoming post services claims work.
• Determines contract and benefit eligibility; provides authorization for inpatient admission, outpatient precertification, prior authorization, and post service requests.
• Refers cases requiring clinical review to a Nurse reviewer.

• Responsible for the identification and data entry of referral requests into the UM system in accordance with the plan certificate.
• Responds to telephone and written inquiries from clients, providers and in-house departments.
• Conducts clinical screening process.
• Authorizes initial set of sessions to provider.
• Checks benefits for facility based treatment.

Develops and maintains positive customer relations and coordinates with various functions within the company to ensure customer requests and questions are handled appropriately and in a timely manner.

Qualifications & Requirements

Requires High school diploma; 1 year of customer service or call-center experience; proficient analytical, written and oral communication skills; or any combination of education and experience, which would provide an equivalent background. Medical terminology training and experience in medical or insurance field preferred.

Additional Information

We are looking for a candidate, who have experience in calls handling and customer service. If you are interested feel free to reach Priti Kumari on #.