Utilization Management Specialist — Authorizations & Data

Collin County Mental Health Retardation Center; Plano (TX); On-site; USD 36,000 - 48,000; Full time

Job summary

Collin County Mental Health Retardation Center is seeking an Utilization Management Technician to support the Utilization Management Department. The role requires accuracy, initiative, and proactive handling of authorizations, assessments, and research into denial issues.

The technician will track service authorizations, assist in UM/QM reports, prepare documents, support discharge workflows, and perform data entry into the EMR. Excellent MS Office skills and attention to detail are essential.

Qualifications

• High school diploma or GED required.
• 2 years’ experience in a medical office setting.
• Basic knowledge of managed care environment.
• Proficient in MS Office (Word, Excel, PowerPoint).
• Ability to write routine reports and correspondence.

Responsibilities

• Process and track UM issues in accordance with guidelines.
• Track and enter service authorizations and submit to payers.
• Prepare UM/QM reports and reconcile data.
• Prepare and modify documents including correspondence, reports, memos and emails.
• Assist in case closures and discharge workflow.
• Data entry from state database into electronic medical record.

Skills

Attention to detail

Initiative

Multitasking

Communication skills

Organizational skills

Education

High school diploma or GED

Tools

MS Office (Word, Excel, PowerPoint)

Job description

Collin County Mental Health Retardation Center is seeking an Utilization Management Technician to support the Utilization Management Department. The role requires accuracy, initiative, and proactive handling of authorizations, assessments, and research into denial issues.

The technician will track service authorizations, assist in UM/QM reports, prepare documents, support discharge workflows, and perform data entry into the EMR. Excellent MS Office skills and attention to detail are essential.