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Utilization Management Specialist

Utilization Management Specialist

VirtualVocationsBaton Rouge, Louisiana, United States
1 day ago
Job type
  • Full-time
Job description

A company is looking for a Utilization Management Insurance Verification and Authorization Specialist.Key ResponsibilitiesContact and notify insurance carriers regarding hospital admissions to ensure coverage for proceduresVerify insurance information and submit / monitor authorizations while educating patients on their benefitsOrganize financial resources for anticipated healthcare charges and provide estimates of patient liabilitiesRequired QualificationsOne year of pre-authorization or referral coordinator experience, or two years of admitting / registration experience in a healthcare settingGraduate of a health vocational program with one year of healthcare experience is acceptableTwo years of experience in a customer service roleProficiency in medical terminology by examinationOne year of post-high school business or college coursework preferred; NAHAM certification is a plus