Remote Utilization Management Specialist I

Elevance Health; Tampa (FL); Hybrid; USD 30,000 - 45,000; Part time

Benefits offered by this job

Comprehensive benefits package

401(k)

Remote work option after training

Job summary

Elevance Health is seeking a candidate for a customer service role with responsibilities including managing claims and determining benefit eligibility. The position requires at least 1 year of customer service experience, strong communication skills, and a medical background is preferred.

This is a contract position with Monday through Friday hours. Work is primarily virtual, with some onsite training required. Eligible employees will receive a comprehensive benefits package including medical and 401(k).

Qualifications

• Requires HS diploma or GED and 1 year of customer service or call-center experience.
• Strong problem-solving and analytical skills are necessary.
• Medical background preferred, with experience in insurance claims a plus.

Responsibilities

• Manage incoming calls and post services claims work.
• Determine contract and benefit eligibility.
• Conduct clinical screenings and authorize sessions to providers.

Skills

Customer service skills

Communication skills

Problem-solving skills

Medical terminology knowledge

Critical thinking

Education

HS diploma or GED

Experience in customer service or call-center

Job description

Elevance Health is seeking a candidate for a customer service role with responsibilities including managing claims and determining benefit eligibility. The position requires at least 1 year of customer service experience, strong communication skills, and a medical background is preferred.

This is a contract position with Monday through Friday hours. Work is primarily virtual, with some onsite training required. Eligible employees will receive a comprehensive benefits package including medical and 401(k).