Utilization Management Assistant jobs in United States
cer-icon
Apply on Employer Site
company-logo

Cottingham & Butler · 5 hours ago

Utilization Management Assistant

Cottingham & Butler is a company dedicated to helping clients through life's toughest moments. They are seeking a Utilization Management Assistant to support patient care by answering calls, evaluating certification requests, and coordinating with healthcare providers.

Financial ServicesInsurance

Responsibilities

Answer first level calls in Utilization Review for HealthCheck360 participants
Evaluate certification requests by reviewing the group specific requirements
Triage the call to determine if a Utilization Review Nurse is needed to complete the call
Review medical records
Coordinate with healthcare providers
Ensure that patients receive appropriate, cost-effective care in accordance with clinical guidelines and insurance requirements

Qualification

CNALPNMedical AssistantPatient health supportCustomer ServiceCommunicationDetail Oriented

Required

CNA, LPN, or Medical Assistant preferred
Background in patient health support or care
1+ years of experience within this field

Preferred

Strong interpersonal skills to be able to connect with patients, doctors, internal team members, and providers
Friendly demeanor and understanding to be able to relay sensitive information to members
Accuracy and attention to detail when reviewing pre-certifications and plans

Benefits

Medical, Dental, Vision Insurance
Flex Spending or HSA
401(k) with company match
Profit-Sharing/Defined Contribution (1-year waiting period)
PTO/Paid Holidays
Company-paid ST and LT Disability
Maternity Leave/Parental Leave
Subsidized Parking
Company-paid Term Life/Accidental Death Insurance

Company

Cottingham & Butler

company-logo
Cottingham & Butler is the 35th largest insurance broker in the US.

Funding

Current Stage
Late Stage
Company data provided by crunchbase