Utilization Management Resource Specialist

Mass General Brigham; Somerville (MA); Remote; USD 40,000 - 55,000; Full time

Job summary

A leading healthcare organization is seeking an administrative support professional for a full-time remote position. This role offers flexibility, opportunities for growth, and responsibilities focused on supporting case managers and managing patient authorizations. Candidates should have a strong background in administrative tasks, effective communication skills, and a commitment to patient care.

Benefits

Flexible scheduling options

Opportunity for career advancement

Comprehensive benefits package

Competitive salary with potential for bonuses

Qualifications

• 2-3 years of related experience preferred.
• Familiarity with medical terminology.
• Ability to maintain effective working relationships.

Responsibilities

• Provide direct administrative support to Utilization Management Case Managers.
• Conduct daily data collection and manage reports.
• Handle communication with payors and manage patient authorizations.

Skills

Interpersonal skills

Written communication

Verbal communication

Data management

Education

High School Diploma or Equivalent

Associate's Degree in a Related Field

Job description

Employer Industry: Healthcare Services

Why consider this job opportunity:
- Full-time remote position with flexible scheduling options
- Opportunity for career advancement and growth within the organization
- Supportive and collaborative work environment
- Engage in meaningful work that supports patient care and community service
- Competitive salary with potential for bonuses
- Comprehensive benefits package offered

What to Expect (Job Responsibilities):
- Provide direct administrative support to Utilization Management Case Managers
- Conduct daily data collection and manage reports for internal and external customers
- Handle communication with payors, including entering requests and managing emails
- Assist in managing patient authorizations and entering data into EPIC
- Collaborate with various departments to ensure accurate patient information and insurance details

What is Required (Qualifications):
- High School Diploma or Equivalent required
- 2-3 years of related experience preferred
- Familiarity with medical terminology and community services/resources
- Strong interpersonal skills and ability to maintain effective working relationships
- Excellent written and verbal communication skills

How to Stand Out (Preferred Qualifications):
- Associate's Degree in a Related Field of Study
- Knowledge of current community resources
- Strong assessment and crisis intervention skills
- Experience in a complex, fast-paced environment

#HealthcareServices #RemoteWork #CareerOpportunity #PatientCare #Collaboration

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