Utilization Management Assistant jobs in United States
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APR Consulting · 6 hours ago

Utilization Management Assistant

APR Consulting, Inc. is a leading healthcare staffing provider in the United States, seeking a Utilization Management Assistant. The primary responsibility of the position is to maintain standard compliance and performance related utilization management data, process reports, and assist in data collection for audits.

ConsultingCRMHuman ResourcesInformation TechnologySmall and Medium BusinessesStaffing Agency

Responsibilities

Updating payer authorizations
Working denials
Monitoring faxes and inputting into Epic and Genesis
Working in provider portals (Availity)
Sending clinicals to payers

Qualification

Epic experienceMicrosoft SuiteManaged healthcare knowledgeCMS regulations knowledgeAnalytical skillsProfessional communicationInterpersonal skills

Required

Must be experienced with entire Microsoft Suite (Word, Excel, Teams, PowerPoint, Access)
Must be independent, self-motivated, and trustworthy in working remotely - must be comfortable working in Teams to communicate with co-workers remotely
Epic experience required
No background check concerns with financial-related violations as this position involves access to patient financial information
Knowledge of managed health care market place, health delivery systems, contract basics
Beginning knowledge of CMS, NCQA, DMHC, ADA and HIPAA regulations
Associate's Degree Required

Company

APR Consulting

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APR Consulting is a nationally recognized, award-winning provider of talent acquisition and workforce solutions, helping organizations simplify, scale, and optimize their operations.

Funding

Current Stage
Growth Stage

Leadership Team

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Aaron Stone
Chief Operating Officer
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Company data provided by crunchbase