Utilization Mgmt Rep- Per Diem (as Needed)

Advocate Aurora Health Corporate

Base: $20.80 - $31.20; bonus/equity: not specified...
Per diem (as needed, with potential for one weekend shift per month)
Manage incoming communications
Verify insurance information
Follow up with payers
The Utilization Management Representative (Per Diem) position at Advocate Aurora Health involves managing clinical requests and communications while ensuring adherence to HIPAA guidelines. The role requires strong communication and organizational skills, with a focus on customer service in a healthcare setting

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

The Utilization Management Representative (Per Diem) position at Advocate Aurora Health involves managing clinical requests and communications while ensuring adherence to HIPAA guidelines. The role requires strong communication and organizational skills, with a focus on customer service in a healthcare setting.

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
  • Enter data into database
  • Provide customer service
  • Maintain department records

Nice-to-have

  • Foster professional relationships
  • Manage conflict
  • Assume self-development
  • Active participant in initiatives

Key Requirements

  • High School Graduate or equivalent
  • 4+ years secretarial experience
  • Associates Degree
  • 2+ years secretarial experience
  • Type 55+ words per minute
  • Competent in Microsoft Office Suite

Work Rights

Not specified

Tailored Resume

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