UST HealthProof · 7 hours ago
Healthcare Utilization Management Intake Analyst
United States
Full-time
Remote
Entry Level
$35K/yr - $50K/yr
1+ years exp
Maximize your interview chancesHospitals and Health Care
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Responsibilities
Provide support services to team members by answering incoming telephone calls, taking messages, researching information and building authorizations in the UM system.
Requesting medical records for pending authorizations or continued stay authorizations.
Generate UM letters for members and providers when authorizations are not required.
Refers to needed services in accordance to benefit plan.
Maintain accurate and complete documentation of required information that meets quality standards.
Protect the confidentiality of the member information and adheres to the company policies regarding confidentiality.
Qualification
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Required
High school diploma or G.E.D. required.
Minimum of one year experience in a health care related field.
Experience with medical terminology and concepts used in the healthcare delivery system, provider office, or the insurance industry is required.
Computer literacy to include Microsoft Office products.
Advanced technical skills for use of hardware and software with a high degree of accuracy.
Excellent oral and written communication skills for representation of clear and concise results.
Ability to manage significant workload, and to work efficiently under pressure, meeting established deadlines with minimal supervision.
Strong time management skills.
Must possess high degree of accuracy, efficiency, and dependability.
Strong customer service skills to assist members and/or providers with understanding healthcare information and to coordinate issue resolution.
Effective written and verbal communication and feedback.
Effective organizational skills with ability to be flexible and prioritize tasks.
Must be knowledgeable of and able to use standard, basic grammar, punctuation, and spelling.
Preferred
Associate or bachelor’s degree in health care related field is preferred.
Current unrestricted LPN license or certified Medical Assistant designation preferred.
Preferred setting is hospital, medical doctor’s office, or health insurance company.
Benefits
Paid vacation
Paid sick leave
Paid holidays
Paid bereavement leave
401(k) Retirement Plan with employer matching
Medical insurance
Dental insurance
Vision insurance
Basic life insurance
Accidental death and disability insurance
Short- and long-term disability benefits
Additional voluntary short-term disability benefits
Health Savings Account (HSA)
Flexible Spending Account (FSA)
Quarterly incentive-based bonuses
Company
UST HealthProof
Futureproof your health plan operations with scalable, cost-effective, and integrated core admin solutions.
501-1,000 employees
Funding
Current Stage
Late StageLeadership Team
Kevin Adams
Chief Executive Officer
Beth Maxwell
VP Product Delivery and Partnerships
Company data provided by crunchbase
