Utilization Management Support Specialist

Advocate Health; Milwaukee (WI); Vor Ort; USD 36.000 - 48.000; Vollzeit

Zusammenfassung

Advocate Health in Milwaukee, WI seeks an experienced administrative professional to handle incoming clinical requests, authorizations, and denials. You will document activities in the EHR and coordinate with Utilization Review nurses and managers for follow-up.

The role requires strong MS Office skills, accurate data entry, and strict adherence to confidentiality and privacy guidelines. Prior medical environment experience is preferred, with a focus on timely, courteous service.

Qualifikationen

• Four+ years of secretarial experience, preferably in a medical environment.
• High school graduate; an associate degree is preferred.

Aufgaben

• Manage incoming communications from callers, faxes, and portals and document actions in the EHR.
• Notify Utilization Review nurses/managers of clinical needs and denials for follow up.
• Verify insurance data and share information with payers and clinical summaries per HIPAA rules.
• Follow up with payers to confirm approved days and record in the EHR.
• Enter data into databases/spreadsheets and provide courteous, expert service to callers.
• Maintain PSAO signatures and track delinquencies; assist physicians with signature processes.

Kenntnisse

Outlook

Word

PowerPoint

Excel

Reporting

Ausbildung

High School Diploma or equivalent

Associates Degree

Jobbeschreibung

Advocate Health in Milwaukee, WI seeks an experienced administrative professional to handle incoming clinical requests, authorizations, and denials. You will document activities in the EHR and coordinate with Utilization Review nurses and managers for follow-up.

The role requires strong MS Office skills, accurate data entry, and strict adherence to confidentiality and privacy guidelines. Prior medical environment experience is preferred, with a focus on timely, courteous service.