Utilization Mgmt Rep- Per Diem (as Needed)

Advocate Aurora Health Corporate

$20.80 - $31.20; not specified; not specified ph
Per diem (part-time, 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 and authorizations while providing excellent customer service. The role requires part-time availability, specifically one day a week, with potential for additional hours based on staffing needs

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 and authorizations while providing excellent customer service. The role requires part-time availability, specifically one day a week, with potential for additional hours based on staffing needs.

Salary

$20.80 - $31.20; Not specified; Not specified

Skills & Requirements

Must-have

  • Manage incoming communications
  • Verify insurance information
  • Follow up with payers
  • Enter data into database
  • Provide customer service
  • Maintain department records
  • Comply with HIPAA guidelines

Nice-to-have

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

Key Requirements

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

Work Rights

Not specified

Tailored Resume

Cover Letter