Utilization Review Intake Specialist

CorVel Brand; Dallas (TX); On-site; USD 42,000 - 54,000; Full time

Job summary

CorVel is seeking a Utilization Review (UR) Intake Specialist to support the UR/Case Management team. This role handles precertification calls, verifies patient and provider data, and enters notes in CareMCsystem while maintaining professional communication with stakeholders.

The position emphasizes accuracy, multi-tasking in a high-volume environment, and collaboration with team members to meet deadlines and support patient care.

Qualifications

• High school diploma or equivalent required.
• AA degree or equivalent preferred.

Responsibilities

• Answer incoming calls related to precertification requests.
• Verify patient, provider and facility information is accurate in the system.
• Enter notes and service requests in CareMCsystem.
• Communicate with stakeholders in a timely and professional manner.

Skills

multitask / Prioritization

written & verbal communication

deadlines

Microsoft Office

interpersonal skills

stress management

independent / team work

Education

High School diploma or equivalent

AA degree preferred

Tools

Microsoft Office (Excel)

Job description

The Utilization Review (UR) Intake Specialist provides staff support services including typing reports and correspondence, file handling and forms completion in addition to answering incoming telephone calls, supporting the goals of the Utilization Review / Case Management department, and of CorVel.

ESSENTIAL FUNCTIONS & RESPONSIBILITIES:

• Takes calls relating to precertification requests
• Verifies that all patient, provider and facility information entered in system is accurate and up to date
• Enters notes and service requests in CareMCsystem
• Communicates with stakeholders in a timely and professional manner
• Additional duties asassigned

KNOWLEDGE & SKILLS:

• Ability to handle multiple prioritiesin a high-volume, fast-paced, team-oriented environment
• Excellent written and verbal communication skills
• Ability to meet designated deadlines
• Computer proficiency and technical aptitude with the ability to utilize Microsoft Office including Excel spreadsheets
• Strong interpersonal, time management and organizational skills
• Ability to remain poised in stressful situations and communicate diplomatically via all methods of communication
• Ability to work both independently and within a team environment

EDUCATION & EXPERIENCE:

• High School diploma or equivalent required
• A.A. degree or equivalent preferred

PAY RANGE:

CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time.

For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process.

In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first.

ABOUT CORVEL

CorVel, a certified Great Place to Work Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).

A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off.

CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor.