Senior Utilization Management Assistant – Per Diem

Jobtailor; Deutschland; Vor Ort; EUR 50.000 - 70.000; Vollzeit

Zusammenfassung

Jobtailor seeks a Utilization Management Coordinator to support the Care Management team under the Regional Director of Care Management. You will work closely with the healthcare team and perform complex tasks related to the overall assessment and management of patients.

Ideal candidates bring hospital/clinical experience, strong EPIC skills, and solid knowledge of insurance billing and managed care. This role promotes collaboration and professional growth in a patient-focused environment.

Qualifikationen

• 5 years in hospital, clinical, or healthcare field.
• 3 years of outstanding customer service experience.
• 3 years clerical and computer experience.
• 3 years knowledge of insurance billing and managed care.
• Some college coursework or High School Diploma or GED equivalent or some college level coursework preferred, especially Medical Terminology.
• Coursework: Medical Terminology or Medical Assistant or equivalent education/experience.
• Coursework: CHAA or equivalent education/experience.
• Within 6 months of hire: CHAA (If in California).
• 3 years EPIC Case Management and ADT Patient Access.

Aufgaben

• Support Care Management team under the Regional Director of Care Management.
• Collaborate as a healthcare team member and perform complex tasks related to assessment and management of patients.

Kenntnisse

Customer service

Clerical work

Computer skills

Insurance knowledge

Ausbildung

Some college / Medical Terminology coursework

Tools

EPIC

Jobbeschreibung

Responsibilities

• Under the supervision of the Regional Director of Care Management, the Utilization Management Coordinator is responsible for providing support to the Care Management team who coordinates care.
• This position works closely as a healthcare team member and performs complex tasks related to the overall team functions and activities identified during the initial and ongoing assessment and management of patients.

Requirements

• 5 years Hospital, Clinical setting or Healthcare related field.
• 3 years demonstrated outstanding customer service experience.
• 3 years Clerical and Computer experience.
• 3 years knowledge of insurance billing and managed care.
• Coursework/Training: Some college level course work or High School Diploma or GED equivalent or some college level course work preferred particularly Medical Terminology or Medical Assistance coursework.
• Coursework/Training: Medical Terminology or Medical Assistant or equivalent education/experience.
• Coursework/Training: CHAA or equivalent education/experience.
• Within 6 months (180 days) of hire: CHAA (If in California).
• 3 years EPIC Case Management and ADT Patient Access.

Core Competencies

Demonstrates expertise in Utilization Management and Care Coordination within a healthcare setting, with a strong focus on customer service, insurance billing, and case management using EPIC systems.