Cottingham & Butler · 19 hours ago
Utilization Management Assistant
Dubuque, IA
Full-time
Hybrid
Entry Level
1+ years expCottingham & Butler is a company dedicated to helping clients through life's toughest moments, and they are seeking a Utilization Management Assistant to join their healthcare team. The role involves answering calls in Utilization Review, evaluating certification requests, reviewing medical records, and ensuring patients receive appropriate care in accordance with clinical guidelines.
Financial ServicesInsurance
Responsibilities
Answer first level calls in Utilization Review for HealthCheck360 participants
Evaluate certification requests by reviewing the group specific requirements
Triage the call to determine if a Utilization Review Nurse is needed to complete the call
Review medical records
Coordinate with healthcare providers
Ensure that patients receive appropriate, cost-effective care in accordance with clinical guidelines and insurance requirements
Qualification
Required
Strong interpersonal skills to be able to connect with patients, doctors, internal team members, and providers
Friendly demeanor and understanding to be able to relay sensitive information to members
Accuracy and attention to detail when reviewing pre-certifications and plans
Preferred
CNA, LPN, or Medical Assistant preferred
Background in patient health support or care
1+ years of experience within this field
Benefits
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 LT Disability
Maternity Leave/Parental Leave
Subsidized Parking
Company-paid Term Life/Accidental Death Insurance
Company
Cottingham & Butler
Cottingham & Butler is the 35th largest insurance broker in the US.
1001-5000 employees
Funding
Current Stage
Late StageCompany data provided by crunchbase