Hybrid Utilization Review Admin & Denials Specialist

Novant Health; Mount Pleasant (SC); Hybrid; USD 32,000 - 52,000; Full time

Benefits offered by this job

Hybrid work opportunity

Job summary

Novant Health is seeking a detail-oriented administrative support specialist to assist the Utilization Review team. Responsibilities include payer communication, authorization tracking, and handling UR office operations in a busy medical setting.

The role requires at least one year of clerical/healthcare experience, strong Microsoft Office skills, and excellent communication with patients and payors. This is a hybrid position with standard daytime hours.

Qualifications

• One year of clerical and healthcare experience.
• Excellent interpersonal and customer service skills.
• Proficient with Microsoft Office; able to keyboard accurately.

Responsibilities

• Schedule: Monday–Friday, daytime hours, rotating holidays.
• Provide administrative and technical support to the Utilization Review team for payer communication and documentation.
• Manage daily UR office operations, including mail processing, calls to verify authorizations, and faxing for multiple facilities.
• Process denials within a strict timeframe and manage payor queues to avoid adverse determinations.
• Facilitate EMR access by sending census reports to payors.
• Process large volumes of confidential patient and payer data to support billing workflows.
• Establish and maintain effective relationships with internal and external customers.
• Maintain compliance with regulatory standards and organizational policies.

Skills

Interpersonal skills

Customer service

Typing accuracy

Attention to detail

Planning and organizational skills

Effective written and verbal comms

Education

High School Diploma or GED

Tools

Microsoft Office

Job description

Novant Health is seeking a detail-oriented administrative support specialist to assist the Utilization Review team. Responsibilities include payer communication, authorization tracking, and handling UR office operations in a busy medical setting.

The role requires at least one year of clerical/healthcare experience, strong Microsoft Office skills, and excellent communication with patients and payors. This is a hybrid position with standard daytime hours.