Utilization Management Assistant

Cottingham & Butler; Dubuque (IA); On-site; USD 30,000 - 40,000; Full time

Benefits offered by this job

Flex Spending or HSA

401(k) with company match

Profit-Sharing

PTO/Paid Holidays

Company-paid ST and LT Disability

Maternity Leave/Parental Leave

Job summary

A leading healthcare services provider is seeking an entry-level Utilization Management Assistant in Dubuque, IA. The role involves assessing certification requests, coordinating with healthcare providers, and ensuring cost-effective care. Ideal candidates will have a background in patient health support and strong communication skills. Full-time employment with numerous perks including 401(k) match and paid holidays is offered.

Qualifications

• 1+ years of experience within this field.
• Flex Spending or HSA.
• 401(k) with company match.
• Profit-Sharing/Defined Contribution (1-year waiting period).
• PTO/Paid Holidays.
• Company-paid ST and LT Disability.
• Maternity Leave/Parental Leave.

Responsibilities

• Evaluate certification requests by reviewing group specific requirements.
• Triage calls to determine if a Utilization Review Nurse is needed.
• Review medical records and coordinate with healthcare providers.

Skills

Communication

Customer Service

Detail Oriented

Education

CNA, LPN, or Medical Assistant preferred

Background in patient health support or care

Job description

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Location: Onsite in Dubuque, IA. Also accepting remote applicants.

Utilization Management Assistant Overview

Are you passionate about patient care and thrive in a fast-paced, professional environment? We are seeking a dedicated Utilization Management Assistant to join our healthcare team. This role is ideal for CNAs, Medical Assistants, LPNs, or individuals with a background in patient health support who are looking to make a meaningful impact behind the scenes. If you are looking to get into a professional office setting with daytime office hours and weekends/holidays off, this is the role for you!

The Utilization Management Assistant answers first level calls in Utilization Review for HealthCheck360 participants. They will evaluate certification requests by reviewing the group specific requirements and will also triage the call to determine if a Utilization Review Nurse is needed to complete the call. Y ou will be responsible for reviewing medical records, coordinating with healthcare providers, and ensuring that patients receive appropriate, cost-effective care in accordance with clinical guidelines and insurance requirements.

Preferred Skills

• Communication - Strong interpersonal skills to be able to connect with patients, doctors, internal team members, and providers
• Customer Service - Friendly demeanor and understanding to be able to relay sensitive information to members
• Detail Oriented - Accuracy and attention to detail when reviewing pre-certifications and plans

Qualifications

• CNA, LPN, or Medical Assistant preferred
• Background in patient health support or care
• 1+ years of experience within this field
• Flex Spending or HSA
• 401(k) with company match
• Profit-Sharing/Defined Contribution (1-year waiting period)
• PTO/Paid Holidays
• Company-paid ST and LT Disability
• Maternity Leave/Parental Leave

About Cottingham & Butler

At Cottingham & Butler, we sell a promise to help our clients through life’s toughest moments. To deliver on that promise, we aim to hire, train, and grow the best professionals in the industry. We look for people with an insatiable desire to succeed, are committed to growing, and thrive on challenges. Our culture is guided by the theme of “better every day” constantly pushing ourselves to be better than yesterday – that’s who we are and what we believe in.

As an organization, we are tremendously optimistic about the future and have incredibly high expectations for our people and our performance. Our ability to grow as a company fuels investments in new resources to better serve our clients and provide the amazing career opportunities our employees want and deserve. This is why we are a growth company and why we are committed to being better every day.

Want to learn more? Follow us on www.CottinghamButler.com | LinkedIn | Facebook

Seniority level

• Entry level

Employment type

• Full-time

Job function

• Administrative

Industries

• Technology, Information and Internet

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