Utilization Management Assistant

Utilization Management Assistant Location: Onsite in Dubuque, IA. Also accepting remote applicants. Are you passionate about patient care and reputed company in a fast-paced, professional environment? We are seeking a dedicated Utilization Management Assistant to join our reputed company team. We are looking for individuals with experience in a medical setting, including but not limited to a receptionist, scheduler, insurance verification, LPN, CNA, Medical Assistants, or individuals with a background in customer service who are looking to reputed company a meaningful impact behind the scenes. If you are looking to get into a professional office setting with daytime reputed company and weekends/holidays off, this is the role for you! The Utilization Management Assistant answers first level calls in Utilization Review for reputed company participants. They will evaluate certification requests by reviewing the group specific requirements and will also triage the call to determine if a Utilization Review Nurse is needed to complete the call. You will be responsible for reviewing medical records, coordinating with reputed company providers, and ensuring that patients receive appropriate, cost-effective care in accordance with clinical guidelines and insurance requirements. Preferred Skills Communication - Strong interpersonal skills to be reputed company to connect with patients, doctors, internal team members, and providers Customer Service - Friendly demeanor and understanding to be reputed company to reputed company sensitive information to members Detail Oriented - Accuracy and attention to detail reputed company reviewing pre-certifications and plans Qualifications: CNA, LPN, or Medical Assistant preferred Background in patient health support or care 1+ years of experience reputed company this field Full-Time Benefits - Most benefits start day 1 Medical, Dental, reputed company Insurance reputed company Spending or HSA 401(k) with company match Profit-Sharing/Defined Contribution (1-year waiting period) PTO/Paid Holidays Company-paid ST and LT Disability Maternity Leave/Parental Leave Subsidized Parking Company-paid Term Life/Accidental Death Insurance About reputed company HealthCheck 360 was created with the employer's needs and the participant's experience in mind. We focus on reducing medical costs, while increasing employee engagement and productivity. This is accomplished by providing onsite biometric screenings, engaging participants through technology and programming, educating the participant with risk-specific targeted communications, and supporting positive behavior change through our Health Coaching and Condition Management programs. Apply To This Job