Utilization Management Admin Specialist — Flexible Schedule

Socket.dev; Berea (OH); On-site; USD 38,000 - 52,000; Full time

Benefits offered by this job

Stable non-profit organization

Competitive medical benefits

10 paid holidays

Flexible work schedules

401(k) with employer match

Employee Assistance Program (EAP)

Recognition and rewards

Job summary

OhioGuidestone in Ohio is seeking an Administrative Support Specialist to assist the Billing department with authorizations, utilization management, and documentation workflows.

You will verify information, enter data in internal systems, and coordinate with providers, members, and internal teams while maintaining confidentiality and accuracy. A flexible schedule and teamwork are valued.

Qualifications

• High school diploma or GED required; associate/bachelor’s preferred.
• 1–3 years in healthcare administration, insurance, or related fields preferred.
• Experience with EMRs, health plans, authorization, or case-management systems preferred.

Responsibilities

• Provide administrative and operational support to Billing.
• Review and route authorization and utilization management requests.
• Verify member, provider, authorization, and service information for completeness and accuracy.

Skills

Microsoft Office Suite

EHRs

Healthcare administration

Education

High School Diploma or GED

Associate or bachelor's degree preferred

Tools

Dispatch systems

Electronic medical records (EMR) systems

Job description

OhioGuidestone in Ohio is seeking an Administrative Support Specialist to assist the Billing department with authorizations, utilization management, and documentation workflows.

You will verify information, enter data in internal systems, and coordinate with providers, members, and internal teams while maintaining confidentiality and accuracy. A flexible schedule and teamwork are valued.