Utilization Management Specialist: Docs & Denials

Bryan College Of Health Sciences; Lincoln (NE); On-site; USD 42,000 - 64,000; Full time

Job summary

Bryan College Of Health Sciences is seeking a detail-oriented professional to support the Utilization Management team. You will obtain documentation and signatures for insurance purposes and explain the documents to patients in our care, while monitoring utilization activities under supervision.

This role requires knowledge of medical terminology, EMR software proficiency, and strong communication skills to collaborate across departments and ensure compliant, quality patient care.

Qualifications

• Licensure or certification in medical or allied health preferred.
• Minimum two (2) years clinical experience preferred.
• Knowledge of medical terminology.

Responsibilities

• Support Utilization Management by obtaining documentation and signatures for insurance purposes.
• Explain documents to patients under Utilization Management direction.
• Monitor and record utilization activities for patients.

Skills

Medical terminology

EMR software

Communication skills

Independent work

Time management

Confidentiality

Documentation accuracy

Interdepartmental collaboration

Patient care focus

Attendance and punctuality

Education

Two years clinical experience

Medical/licensure preferred

Tools

EMR systems

Computers and hardware knowledge

Job description

Bryan College Of Health Sciences is seeking a detail-oriented professional to support the Utilization Management team. You will obtain documentation and signatures for insurance purposes and explain the documents to patients in our care, while monitoring utilization activities under supervision.

This role requires knowledge of medical terminology, EMR software proficiency, and strong communication skills to collaborate across departments and ensure compliant, quality patient care.