Utilization Management Assistant

• Collaborates and coordinates with all members of the health care team, patient and family to coordinate and ensure timely and efficient delivery of required workflow, services and tasks
• Supports UM process through accurate and timely communication of review information recorded in MIDAS or Allscripts Care Manager and associated systems to insurance companies including uploading reviews into payer website as required and phone reviews
• Performs daily follow-up with payer to obtain authorization
• Records all communication with payer according to department standards
• Notifies UM Nurse of concurrent denial or potential denial

• High School Equivalent / GED
• 2+ years of administrative/office/clinical support/managed care or utilization management experience
• Detail-oriented and organized, with good analytical and problem solving ability
• Notable client service, communication, presentation and relationship building skills
• Ability to function independently and as a team player in a fast-paced environment
• Must have strong written and verbal communication skills
• Demonstrated ability to use PCs, Microsoft Office suite, and general office equipment
• Strong typing skills

Medical Terminology

comprehensive benefits package, which includes healthcare, dental, vision, retirement plan options, and additional offerings