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
Utilization Management Representative • Saint Paul, Minnesota, United States