What are the responsibilities and job description for the Utilization Management Representative position at Team1Medical?

Job Description

Utilization Management Representative | $ 25 .00 | 8 : 0 0 am to 5 : 0 0 p m / In Office / Contract

What Matters Most

Competitive Pay of $25.00 per hour
Schedule : 8 : 00 am to 5 : 00 pm
Location : Pearland, Texas 77584
Contract role
Weekly Pay with direct deposit or pay card
When you work through Team1Medical, you are eligible to enroll in dental, vision and medical insurance as well as 401K, direct deposit and our referral bonus program

Job Description

A well-established healthcare organization is seeking a Utilization Management Representative to join their Pearland team. Work behind the scenes with a team whose mission is to improve the health of the community. If you have utilization management experience and want to work with a healthcare organization in the Pearland area, submit your resume today!

Responsibilities :

Provide office support for all units within the Utilization Management and Population Health Department

Assist with incoming authorization requests, data entry of clinical information, and pre-certification requests

Responsible for clerical support relative to the Bed Day process

Handle collecting, reporting, clarification, and entry of data, pre- and post-acute certification requests for specific services

Complete collection of non-clinical data, report generation, health plan coordination for non-clinical issues, and other administrative duties that are required to provide comprehensive coordination of services

Qualifications and Requirements :

2-3 years of managed care experience either in a physician office or hospital setting health plan, ACO or other managed care setting.

Knowledge of medical terminology, HMO, PPO and referral processes.

Must have completed High School Diploma or GED.

Benefits and Perks :

25.00 / hr.

Once hired on with the organization they offer a comprehensive benefits package, which includes three weeks of Paid Time Off, PPO or HMO, and 401k.

Your New Organization :

Our client is a healthcare organization with multiple locations within the Houston and Greater Houston areas with various career growth opportunities.

Your Career Partner :

Team1Medical, a Reserves Network company, a veteran-founded and family-owned company, specializes in connecting exceptional talent with rewarding opportunities. With extensive industry experience, we are dedicated to helping you achieve your professional goals and shine in your field. The Reserves Network values diversity and encourages applicants from all backgrounds to apply. As an equal-opportunity employer, we foster an environment of respect, integrity, and trust in every aspect of employment.

In the spirit of pay transparency, we want to share the base salary range for this position is $25.00 / hr. not including benefits, potential bonuses or additional compensation. If you are hired, your base salary will be determined based on factors such as individual skills, qualifications, experience, and geographic location. In addition, we also believe in the importance of pay equity and consider the internal equity of our current team members as a part of any final offer. Please keep in mind that the range mentioned above is the full base salary range for the role. Hiring at the maximum of the range would not be typical in order to allow for future & continued salary growth

Salary : $25

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Utilization Management Representative

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