Utilization Management Support Specialist

CHI Health; Omaha (NE); On-site; USD 36,000 - 48,000; Full time

Job summary

CHI Health in Omaha, Nebraska is seeking a Utilization Management Assistant to provide essential administrative support to the UM team and help maintain organized operations.

Daily tasks include managing documentation, processing requests, coordinating with payers and staff, and assisting with data entry and record-keeping to keep UM workflows smooth. Ideal candidates have strong organizational skills and proactive communication.

Qualifications

• Minimum one year experience in a hospital, physician’s office, or medical group performing duties related to admitting, business office, payer communications or managed care.
• High School Graduate or GED.

Responsibilities

• Receives, sends and documents payer requests for clinical documentation.
• Receives and documents payer authorization and communications including but not limited to concurrent denials.
• Coordination of peer to peer conversations, as applicable.
• Reviews surgery schedule to verify correct authorization is documented, if applicable.
• Identifies accounts lacking authorization and follows up with payers, as needed.
• Communicates with interdepartmental staff regarding payer documentation requests.

Skills

Organizational skills

Attention to detail

Communication skills

Proactive approach

Education

High School Diploma or GED

Job description

CHI Health in Omaha, Nebraska is seeking a Utilization Management Assistant to provide essential administrative support to the UM team and help maintain organized operations.

Daily tasks include managing documentation, processing requests, coordinating with payers and staff, and assisting with data entry and record-keeping to keep UM workflows smooth. Ideal candidates have strong organizational skills and proactive communication.