Utilization Management Specialist – Preauth & Case Review

Direct Staffing Inc; Thousand Oaks (CA); On-site; USD 45,000 - 55,000; Full time

Job summary

A staffing agency is looking to hire several Site Logistics Operators in Knoxville, TN for a leading chemical company. The role requires coordinating cases for precertification, managing claims, and requires a high school diploma/GED. Ideal candidates should have medical terminology knowledge and at least one year of call-center experience. Strong communication and organizational skills are essential for success. This is a long-term, indefinite assignment in a dynamic environment.

Qualifications

• Medical terminology training and experience in the medical or insurance field.
• A minimum of 1 year of call-center experience.
• Strong organizational skills and ability to multi-task.

Responsibilities

• Coordinate cases for precertification and prior authorization review.
• Manage incoming calls and claims work.
• Check benefits for facility-based treatment.

Skills

Analytical skills

Written communication

Oral communication

Computer navigation

Time management

Education

High school diploma/GED

Job description

A staffing agency is looking to hire several Site Logistics Operators in Knoxville, TN for a leading chemical company. The role requires coordinating cases for precertification, managing claims, and requires a high school diploma/GED. Ideal candidates should have medical terminology knowledge and at least one year of call-center experience. Strong communication and organizational skills are essential for success. This is a long-term, indefinite assignment in a dynamic environment.