Utilization Management Technician
Company: Amerihealth
Location: Charleston
Posted on: October 9, 2021
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Job Description:
The Utilization Management Technician will support the Prior
Authorization team to manage phone calls/faxes and emails. Helping
to build shell cases for members. Candidates should have customer
service experience, medical coding experience preferred.
Your career starts now. We’re looking for the next generation of
health care leaders.
At AmeriHealth Caritas, we’re passionate about helping people get
care, stay well and build healthy communities. As one of the
nation's leaders in health care solutions, we offer our associates
the opportunity to impact the lives of millions of people through
our national footprint of products, services and award-winning
programs. AmeriHealth Caritas is seeking talented, passionate
individuals to join our team. Together we can build healthier
communities. If you want to make a difference, we’d like to hear
from you.
Headquartered in Philadelphia, AmeriHealth Caritas is a
mission-driven organization with more than 30 years of experience.
We deliver comprehensive, outcomes-driven care to those who need it
most. We offer integrated managed care products, pharmaceutical
benefit management and specialty pharmacy services, behavioral
health services, and other administrative services. Discover more
about us at www.amerihealthcaritas.com. This role is eligible for a $1,500
sign-on bonus Responsibilities: The Utilization Management Tech functions under the direction of
the Supervisor to coordinate, generate and track both incoming and
outgoing correspondence, faxes and authorizations related to
prospective, concurrent and post service review functions.
Interacts with facilities, vendors, providers, and other staff to
facilitate receipt of information, and /or records for prompt
review and response. Compensation plans for physicians,
licensed nurse reviewers, staff, and consultants who conduct
medical management do not contain incentives, directly or
indirectly, that encourage barriers to care and service in making
determinations. Education/ Experience: Job Brief
Keywords: Amerihealth, Charleston , Utilization Management Technician, Other , Charleston, South Carolina
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