Utilization Management Assistant Location : Onsite in Dubuque, IA. Also accepting remote applicants. Are you passionate about patient care and thrive in a fast-paced, professional environment? We are seeking a dedicated Utilization Management Assistant to join our healthcare 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 make a meaningful impact behind the scenes. If you are looking to get into a professional office setting with daytime office hours and weekends/holidays off , this is the role for you! The Utilization Management Assistant answers first level calls in Utilization Review for HealthCheck360 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. Y ou will be responsible for reviewing medical records, coordinating with healthcare 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 able to connect with patients, doctors, internal team members, and providers Customer Service - Friendly demeanor and understanding to be able to relay sensitive information to members Detail Oriented - Accuracy and attention to detail when reviewing pre-certifications and plans Qualifications: CNA, LPN, or Medical Assistant preferred Background in patient health support or care 1+ years of experience within this field Full-Time Benefits - Most benefits start day 1 Medical, Dental, Vision Insurance Flex Spending or HSA 401(k) with company match Profit-Sharing/Defined Contribution (1-year waiting period) PTO/Paid Holidays Company-paid ST and L
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Role overview
Job description
Condition Management Account Coordinator Location : Onsite in Dubuque, IA. Also accepting remote applicants. HealthCheck360 has an immediate opening for driven, energetic, and customer focused candidates for our Condition Management Account Coordinator role. In this role, you will answer inbound calls from our participants along with making outbound telephonic calls to participants enrolled in the Condition Management Program. And the best part? You don't need experience - we will train you! We are seeking individuals with strong customer service skills that can perform well individually and in a team environment. This role is perfect for individuals with experience in a medical setting, including but not limited to a receptionist, scheduler, insurance verification, health coaches, LPN, CNA, Medical Assistants, or individuals with a background in customer service who are looking to ma
…What they are looking for
Skills & requirements
Department · Wellness HealthCorp
Hiring company
HealthCheck360
Let's change lives together! At HealthCheck360, you can be part of something incredible. Grow your career while helping other people see lasting health improvements in their lives.
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