APR Consulting · 10 hours ago
Utilization Management Assistant
APR Consulting, Inc. is a leading healthcare staffing provider in the United States, seeking a Utilization Management Assistant. The primary responsibility of the position is to maintain standard compliance and performance related utilization management data, process reports, and assist in data collection for audits.
ConsultingCRMHuman ResourcesInformation TechnologySmall and Medium BusinessesStaffing Agency
Responsibilities
Updating payer authorizations
Working denials
Monitoring faxes and inputting into Epic and Genesis
Working in provider portals (Availity)
Sending clinicals to payers
Qualification
Required
Must be experienced with entire Microsoft Suite (Word, Excel, Teams, PowerPoint, Access)
Must be independent, self-motivated, and trustworthy in working remotely - must be comfortable working in Teams to communicate with co-workers remotely
Epic experience required
No background check concerns with financial-related violations as this position involves access to patient financial information
Knowledge of managed health care market place, health delivery systems, contract basics
Beginning knowledge of CMS, NCQA, DMHC, ADA and HIPAA regulations
Associate's Degree Required
Company
APR Consulting
APR Consulting is a nationally recognized, award-winning provider of talent acquisition and workforce solutions, helping organizations simplify, scale, and optimize their operations.
Funding
Current Stage
Growth StageRecent News
Staffing Industry Analysts
2023-12-24
Company data provided by crunchbase