Henry Ford Health System

Support Specialist- Utilization Review/Remote


PayCompetitive
LocationTroy/Michigan
Employment typeFull-Time

This job is now closed

  • Job Description

      Req#: 99776
      Employer Industry: Healthcare Services

      Why consider this job opportunity:
      - Opportunity for career advancement and professional growth within the organization
      - Supportive and collaborative work environment
      - Chance to make a positive impact on authorization processes and patient care
      - Engage in mandatory continuing education to enhance skills and knowledge
      - Work within a centralized team that emphasizes process improvement strategies

      What to Expect (Job Responsibilities):
      - Act as a subject matter expert in insurance authorization requirements and revenue cycle processes
      - Submit all clinical information required by third-party payers
      - Respond to payer requests and inquiries, escalating issues to leadership as needed
      - Process and manage incoming communication from payers, routing information to appropriate team members
      - Identify and implement process improvement strategies within the Utilization Review team

      What is Required (Qualifications):
      - High School Diploma or G.E.D. required
      - Minimum one (1) year of experience in healthcare
      - Strong verbal and written communication skills
      - Working knowledge of computers and software systems
      - Experience working in Epic preferred

      How to Stand Out (Preferred Qualifications):
      - 1+ years of experience in a healthcare support role
      - Familiarity with Utilization Management processes
      - Previous experience with payer communications and authorization processes
      - Additional certifications in healthcare administration or related fields

      #HealthcareServices #UtilizationReview #CareerOpportunity #ProfessionalGrowth #ProcessImprovement

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      We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.
  • About the company

      The Henry Ford Health System is a comprehensive, integrated, non-profit health care organization in Metro Detroit.