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Utilization Management Technician (3) jobs in United States
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Ampcus Inc · 5 months ago

Utilization Management Technician (3)

Ampcus Inc. is a certified global provider of a broad range of Technology and Business consulting services. They are in search of a highly motivated Utilization Management Technician to process prior authorization requests with accuracy and timeliness while ensuring outstanding service and quality. The role involves analyzing requests, obtaining information, and interacting with customers.
Big DataInformation TechnologyData Management

Responsibilities

You will receive urgent, routine, pre-service, and retro authorization requests, as well as process prior authorization requests with accuracy and timeliness
This will involve the use of various business applications to perform analysis, obtain information, and enter prior authorization data necessary for claims adjudication
You will use your critical thinking skills to identify missing information and make prior authorization processing determinations based on clinical protocols and other guidelines
You will also interact with internal and external customers to provide and obtain information and ensure the delivery of outstanding service and quality

Qualification

Health Plan ExperienceEMR ExperienceCoordinator ExperienceEPICCritical Thinking

Required

Coordinator experience
Health Plan Experience
EMR experience
EPIC preferred

Company

Ampcus Inc

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Ampcus is a global business, technology consulting and an staff augmentation firm specializing in AI/ML,digital solutions, Cybersecurity & Risk management, Testing, Forensics & Fraud services and human capital management.

Funding

Current Stage
Late Stage

Leadership Team

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Raj Narayan
Sr. Vice President, Strategic Sales
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Company data provided by crunchbase