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Powers-Health is seeking an Utilization Management Technician to manage admission and concurrent reviews for certification and length of stay assignments with payers. You will coordinate communications via fax, electronic submission, or phone, and ensure accuracy of authorization details in the patient record.
The role emphasizes timely documentation in Epic and collaboration with care teams to support appropriate and efficient patient care approvals.
Utilization Management Technician communicates admission and concurrent reviews for certification and length of stay assignments to payers by fax, electronic, or telephonic according to payer contract guidelines. All communication, including authorization number is documented within the patients medical record in Epic under Auth Cert tab and/or Account Notes.
EDUCATION/EXPERIENCE:
High School diploma required. Associate degree in Health Information Management preferred. Two years of experience in a medical practice, hospital, or insurance setting preferred. Medical terminology background preferred. Typing skills at a 35 words per minute. Proficient in the use of Intra/Internet, e-mail, and online applications. Must possess good time management and interpersonal skills.