Utilization Management Technician

Company: Amerihealth
Location: Remote
Posted on: March 20, 2023

Job Description:

Job Description:

\n\n\n\n Your career starts now. We're looking for the next generation of health care leaders.\n At AmeriHealth Caritas, we're passionate about helping people get care, stay well and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we'd like to hear from you.\n Headquartered in Philadelphia, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover more about us at www.amerihealthcaritas.com.\n\n\n\n\n\n\n Responsibilities:\n 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.\n Education/Experience: \n\nHigh School/GED.\nAssociate's Degree Preferred.\nHigh School Diploma or GED required.\nMinimum 1 year general office and/or customer service experience required.\nWork experience in healthcare setting required.\nKnowledge of medical terminology required.\n1 to 3 years Managed Care, Insurance, Call Center Experience.\n3 to 5 years Office Experience.\nProficiency with Microsoft Office Suite (Word, Excel, Power Point). Consistent word processing speed and accuracy of 50 or more words per minute. \n \n\n\nBack\n\n\n\n\n\n\n\n\nApply Now\n\n

Keywords: Amerihealth, Eugene , Utilization Management Technician, Executive , Remote, Oregon