Utilization Management Assistant: Remote/Onsite

Cottingham & Butler; Dubuque (IA); Hybrid; USD 38,000 - 54,000; Full time

Benefits offered by this job

401(k) with company match

PTO/Paid Holidays

Profit-Sharing/Defined Contribution

Company-paid ST and LT Disability

Maternity Leave/Parental Leave

Job summary

Cottingham & Butler is seeking an Utilization Management Assistant to join our healthcare team in Dubuque, IA. The role involves handling first level Utilization Review calls, reviewing certification requests, and coordinating with providers to ensure appropriate and cost-effective care.

Preferred candidates have CNA/LPN/MA experience and at least 1 year in this field, with a background in patient health support. We offer day hours with weekends/holidays off and a comprehensive benefits package.

Qualifications

• CNA, LPN, or Medical Assistant preferred.
• 1+ years of experience in this field.
• Background in patient health support or care.
• Experience with pre-certifications or utilization review basics.

Responsibilities

• Answer first level calls in Utilization Review for Health & Wellness participants.
• Review certification requests against group requirements.
• Triage calls to determine if a Utilization Review Nurse is needed.
• Review medical records and coordinate with healthcare providers to ensure appropriate, cost-effective care.

Skills

Communication

Customer Service

Detail Oriented

Education

CNA / LPN / Medical Assistant

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 our Health & Wellness 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 onwww.CottinghamButler.com|LinkedIn|Facebook