Remote Utilization Management Associate I

Elevance Health; Tampa (FL); Hybrid; USD 32,000 - 42,000; Full time

Benefits offered by this job

Merit increases

Paid Time Off

401(k) + match

Stock purchase plan

Health benefits including dental and vision

Job summary

A health services company is looking for a Utilization Management Representative I to coordinate precertification and prior authorization cases. The role is primarily virtual, requiring customer service experience and strong communication skills. Candidates must be located within reasonable commuting distance to Miami or Tampa, FL. The position offers a Monday-Friday schedule with potential overtime and insight into healthcare service. Join us in making healthcare simpler and better for our communities.

Qualifications

• Requires high school diploma or GED and a minimum of 1 year of customer service or call-center experience.
• Strong verbal and written communication skills are essential.
• Experience in healthcare or health insurance field preferred.

Responsibilities

• Manage incoming calls and post service claims.
• Determine contract and benefit eligibility.
• Authorize inpatient admission and outpatient precertification.

Skills

Customer service experience

Strong verbal and written communication

Attention to details

Critical thinking

Problem-solving

Education

High school diploma or GED

Tools

Digital tools and platforms

Job description

A health services company is looking for a Utilization Management Representative I to coordinate precertification and prior authorization cases. The role is primarily virtual, requiring customer service experience and strong communication skills. Candidates must be located within reasonable commuting distance to Miami or Tampa, FL. The position offers a Monday-Friday schedule with potential overtime and insight into healthcare service. Join us in making healthcare simpler and better for our communities.