Healthcare Utilization Review Specialist
Bradford Health Services
14 days+
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Benefits offered by this job
Job summary
A healthcare service provider in Alabama is looking for a Utilization Review Specialist. This entry-level role involves ensuring healthcare services provided to patients are necessary and compliant. Candidates should have a Bachelor's degree in Nursing or Health Administration, along with at least 2 years of relevant experience. Strong knowledge of medical terminology and excellent communication skills are essential. The role offers a full-time position with a range of benefits including medical coverage and student loan repayment options.
Qualifications
- At least 2 years of experience in utilization review, case management, or clinical healthcare roles.
- Familiarity with insurance authorization processes and healthcare reimbursement models.
Responsibilities
- Review and analyze medical records to assess healthcare services.
- Coordinate with healthcare providers and insurance representatives.
- Maintain detailed records of utilization review activities.
Skills
Strong knowledge of medical terminology
Excellent analytical skills
Effective communication skills
Organizational skills
Education
Bachelor’s degree in Nursing or Health Administration
Registered Nurse (RN) license or equivalent
Tools
Electronic health records (EHR) systems
Job description
A healthcare service provider in Alabama is looking for a Utilization Review Specialist. This entry-level role involves ensuring healthcare services provided to patients are necessary and compliant. Candidates should have a Bachelor's degree in Nursing or Health Administration, along with at least 2 years of relevant experience. Strong knowledge of medical terminology and excellent communication skills are essential. The role offers a full-time position with a range of benefits including medical coverage and student loan repayment options.
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