Utilization Management Resource Specialist (per Diem)

Mass General Brigham Incorporated

Boston, MA, USA
Base: $19.81 - $28.30phly; bonus/equity: not speci...
Fully remote
Direct administrative support
Utilization review processes
Daily data collection
The Utilization Management Resource Specialist (UMRS) works collaboratively with Utilization Management Case Managers, Clinical Operations, Revenue Cycle Operations, and Physician Advisors providing direct administrative support to the utilization review processes and to the department

Job Summary

  • The Utilization Management Resource Specialist (UMRS) works collaboratively with Utilization Management Case Managers, Clinical Operations, Revenue Cycle Operations, and Physician Advisors providing direct administrative support to the utilization review processes and to the department.
  • The position requires a high degree of flexibility, independence and willingness to participate in multiple activities and provide support to all members of the MGB team.
  • Mass General Brigham relies on a wide range of professionals to advance our mission and strives to provide exceptional care.

Matching Summary

The Utilization Management Resource Specialist (UMRS) works collaboratively with Utilization Management Case Managers, Clinical Operations, Revenue Cycle Operations, and Physician Advisors providing direct administrative support to the utilization review processes and to the department.

Salary

Base: $19.81 - $28.30/Hourly; Bonus/Equity: Not specified; Benefits: Not specified

Skills & Requirements

Must-have

  • Direct administrative support
  • Utilization review processes
  • Daily data collection
  • Manage email communication from payors
  • Enter approved LOS in EPIC
  • Enter denials in retro folder
  • Update payor dictionaries

Nice-to-have

  • High degree of flexibility
  • Willingness to participate in multiple activities
  • Support to all members of the MGB team
  • Collaborative work environment

Key Requirements

  • High School Diploma or equivalent
  • 2+ years of related healthcare experience
  • Familiarity with medical terminology
  • Familiarity with community services/resources

Work Rights

Not specified

Tailored Resume

Cover Letter