Utilization Management Associate I (Precert & PA)

Mindlance; City of Albany (NY); On-site; USD 32,000 - 35,000; Full time

Job summary

Mindlance is seeking a candidate based in Albany, NY to coordinate cases for precertification and prior authorization review. The role includes managing incoming claims, determining eligibility, and conducting clinical screenings.

Ideal candidates should have a high school diploma and previous customer service experience. Training will be provided for specific tasks, and it is preferred to have experience in medical terminology and the insurance field.

Qualifications

• Requires high school diploma and 1 year of customer service or call-center experience.
• Proficient analytical, written, and oral communication skills.
• Preferred experience in medical terminology and medical/insurance field.

Responsibilities

• Coordinate cases for precertification and prior authorization review.
• Manage incoming calls and claims work for contract eligibility.
• Conduct clinical screening process and authorize sessions.

Skills

Customer service experience

Analytical skills

Communication skills

Education

High school diploma

Job description

Mindlance is seeking a candidate based in Albany, NY to coordinate cases for precertification and prior authorization review. The role includes managing incoming claims, determining eligibility, and conducting clinical screenings.

Ideal candidates should have a high school diploma and previous customer service experience. Training will be provided for specific tasks, and it is preferred to have experience in medical terminology and the insurance field.