The Utilization Management Technician will support the Prior Authorization team to manage phone calls/faxes and emails. Helping to build shell cases for members. Candidates should have customer service experience, medical coding experience preferred.
This role is eligible for a $1,500 sign-on bonus
The Utilization Management Tech functions under the direction of the Supervisor to coordinate, generate and track both incoming and outgoing correspondence, faxes and authorizations related to prospective, concurrent and post service review functions. Interacts with facilities, vendors, providers, and other staff to facilitate receipt of information, and /or records for prompt review and response. Compensation plans for physicians, licensed nurse reviewers, staff, and consultants who conduct medical management do not contain incentives, directly or indirectly, that encourage barriers to care and service in making determinations.