Utilization Review Specialist: Data-Driven Care Champion

Sedgwick Claims Management Services Ltd; United States; Remote; USD 25.000 - 28.000; Vollzeit

Benefits dieser Stelle

Health insurance

Dental plan

401K matching

Paid time off

Zusammenfassung

Sedgwick Claims Management Services Ltd is hiring for an administrative role supporting utilization review and clinical staff. The position involves triaging UR requests, entering data accurately, and handling correspondence in a team environment.

Ideal candidates have a high school diploma, at least two years of admin experience, and strong communication skills. Knowledge of medical terminology and coding is a plus.

Qualifikationen

• Education requirement: High School diploma or GED.
• Two years of administrative experience or equivalent.
• Experience in medical/insurance terminology is a plus.
• Strong written and verbal communication required.
• Familiarity with ICD9 and CPT coding is beneficial.

Aufgaben

• Assigns utilization review requests and triages cases.
• Enters demographics and UR data into systems with accuracy.
• Responds to inquiries and provides information as needed.
• Distributes correspondence and uploads documents into systems.
• Supports other units as needed and adheres to policies.

Kenntnisse

Administrative support

Data entry

Attention to detail

Communication skills

Ausbildung

High School diploma or GED

Tools

Microsoft Office

Jobbeschreibung

Sedgwick Claims Management Services Ltd is hiring for an administrative role supporting utilization review and clinical staff. The position involves triaging UR requests, entering data accurately, and handling correspondence in a team environment.

Ideal candidates have a high school diploma, at least two years of admin experience, and strong communication skills. Knowledge of medical terminology and coding is a plus.