UST HealthProof · 1 week ago
Healthcare Utilization Management Intake Analyst
United States
Full-time
Remote
Entry Level
$40K/yr - $44K/yr
1+ years expUST HealthProof is a trusted partner for health plans, offering an integrated ecosystem for health plan operations. They are seeking a Healthcare Utilization Management Intake Analyst to support coordination of medical services, including utilization management intake, requesting medical records, and provider requests to promote effective utilization of healthcare services.
Hospital & Health Care
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
Required
High school diploma or G.E.D. required
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
Knowledge of educational assessments and learning strategies
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
Current unrestricted LPN license or certified Medical Assistant designation
Minimum of one year experience in a health care related field. Preferred setting is hospital, medical doctor s office, or health insurance company
Benefits
Up to 16 days of paid vacation per year
6 days of paid sick leave each year (pro-rated for new hires throughout the year)
10 paid holidays
Paid bereavement leave
401(k) Retirement Plan with employer matching
Medical, dental, and 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) for healthcare, dependent child care, and/or commuting expenses
Potential for quarterly incentive-based bonuses and or commissions
Company
UST HealthProof
UST HealthProof offers risk adjustment, quality programs, and healthcare payer technology services. It is a sub-organization of UST.
501-1000 employees
H1B Sponsorship
UST HealthProof has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (71)
2024 (43)
2023 (31)
2022 (3)
Funding
Current Stage
Late StageTotal Funding
unknown2025-09-04Acquired
Leadership Team
Kevin Adams
Chief Executive Officer
Beth Maxwell
VP Product Delivery and Partnerships
Recent News
2025-12-06
Precedence Research
2025-11-21
2025-11-07
Company data provided by crunchbase