Utilization Management Assistant

HealthCheck360; Dubuque (IA); Hybrid; USD 35,000 - 45,000; Full time

Benefits offered by this job

Medical, Dental, and Vision Insurance

401(k) with company match

Paid Time Off and Holidays

Company-paid Disability Insurance

Maternity and Parental Leave

Job summary

HealthCheck360 in Dubuque, IA is seeking a dedicated Utilization Management Assistant to support patient care in a professional environment. This role focuses on evaluating certification requests and ensuring patients receive appropriate care while providing a fast-paced work experience.

Ideal candidates will have experience in medical settings and possess strong communication and detail-oriented skills. Comprehensive benefits start on day one, including medical, dental, and 401(k) plans.

Qualifications

• 1+ years of experience in a medical setting preferred.
• Experience in roles such as receptionist, scheduler, or insurance verification.
• Ability to work in a fast-paced environment.

Responsibilities

• Answer first level calls in Utilization Review for HealthCheck360 participants.
• Evaluate certification requests by reviewing group specific requirements.
• Coordinate with healthcare providers to ensure appropriate care.

Skills

Communication

Customer Service

Detail Oriented

Education

CNA, LPN, or Medical Assistant

Background in patient health support or care

Job description

Location

Onsite in Dubuque, IA. Also accepting remote applicants.

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. We are looking for individuals with experience in a medical setting, including but not limited to a receptionist, scheduler, insurance verification, LPN, CNA, Medical Assistants, or individuals with a background in customer service 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. You 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

Full-Time Benefits

Most benefits start day 1.

• Medical, Dental, Vision Insurance
• 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
• Subsidized Parking
• Company-paid Term Life/Accidental Death Insurance

About HealthCheck360

HealthCheck 360 was created with the employer's needs and the participant's experience in mind. We focus on reducing medical costs, while increasing employee engagement and productivity. This is accomplished by providing onsite biometric screenings, engaging participants through technology and programming, educating the participant with risk‑specific targeted communications, and supporting positive behavior change through our Health Coaching and Condition Management programs.