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Utilization Management Representative

Utilization Management Representative

VirtualVocationsSaint Paul, Minnesota, United States
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A company is looking for a Utilization Management Representative to coordinate prior authorization reviews and ensure compliance with regulations.

Key Responsibilities

Coordinate cases for prior authorization reviews and verify insurance for DME supplies

Communicate with members, providers, and internal departments regarding documentation and inquiries

Maintain positive customer relations and participate in developing department goals and efficiency improvements

Required Qualifications

Minimum of 2 years of DME experience and / or Utilization Management experience

High school diploma or GED required

Proficient with Microsoft Office Suite

Strong organizational skills and ability to prioritize tasks

Ability to communicate effectively with various groups

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Utilization Management Representative • Saint Paul, Minnesota, United States