Utilization Mgmt Rep- Per Diem (as Needed)

Advocate Aurora Health Corporate

Base: $20.80 - $31.20; bonus/equity: not specified...
Per diem/as needed
Manage incoming communications
Verify insurance information
Follow up with payers
Advocate Aurora Health is seeking a Per Diem Utilization Management Representative to manage clinical requests, authorizations, and communications within their corporate health department. The role requires strong administrative skills, critical thinking, and the ability to provide excellent customer service in a fast-paced environment

Job Summary

  • Manage incoming fax, phone, and portal communications or any other requests from internal and external customers pertaining to clinical requests, approvals, authorizations, and denials.
  • Verify insurance information provided by callers, fax, or Portal and send information to payers as requested, including discharge dates and disposition or clinical reviews/summaries prepared by UM RNs (if directed to do), while ensuring that all actions taken align/comply with the confidentiality and HIPAA compliance guidelines.
  • Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work.

Matching Summary

Match Score: 75

Advocate Aurora Health is seeking a Per Diem Utilization Management Representative to manage clinical requests, authorizations, and communications within their corporate health department. The role requires strong administrative skills, critical thinking, and the ability to provide excellent customer service in a fast-paced environment.

Salary

Base: $20.80 - $31.20; Bonus/Equity: Not specified; Benefits: No

Skills & Requirements

Must-have

  • Manage incoming communications
  • Verify insurance information
  • Follow up with payers
  • Customer service
  • HIPAA compliance guidelines

Nice-to-have

  • Foster and maintain effective professional relationships
  • Assume responsibility for self-development
  • Function well in a fast paced environment

Key Requirements

  • 4+ years secretarial experience
  • 2+ years secretarial experience in medical environment
  • High School Graduate or equivalent
  • Type 55+ words per minute
  • Advanced Microsoft Office functions

Work Rights

Not specified

Tailored Resume

Cover Letter