Utilization Manager

Contract: Baltimore, Maryland, US

Salary: $22.00 Per Hour

Job Code: 355298

End Date: 2024-11-24

Days Left: 1 days, 17 hours left

About the Role:

  • We are seeking a Utilization Management Support Specialist to assist our clinical teams with non-clinical administrative tasks related to pre-service, utilization review, care coordination, and quality of care.

Responsibilities: 

  • Perform member or provider related administrative support such as benefit verification, authorization creation and management, claims inquiries, and case documentation.
  • Review authorization requests for initial determination and/or triage for clinical review and resolution.
  • Provide general support and coordination services for the department including answering and responding to telephone calls, taking messages, and assisting in problem-solving.
  • Assist with reporting, data tracking, gathering, organization, and dissemination of information related to Continuity of Care process and tracking of Peer to Peer reviews.

Education Qualification: 

  • High School Diploma
Job Requirement
  • cpt
  • icd10
  • icd-10
  • healthcare
  • pharma
  • hospital
  • medical
  • medic
  • customers
Reach Out to a Recruiter
  • Recruiter
  • Email
  • Phone
  • Dikshita Biswas
  • dikshita.biswas@collabera.com
Apply Now
Apply Now
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Collabera is a leading global digital talent solutions firm. For over 25 years, we have provided digital and IT talent services, direct placement and career advisement, global remote talent and learning solutions to transform and diversify workforces for the Fortune 1000 globally.

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Collabera is a leading global digital talent solutions firm. For over 25 years, we have provided digital and IT talent services, direct placement and career advisement, global remote talent and learning solutions to transform and diversify workforces for the Fortune 1000 globally.

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