Virgin Pulse
Utilization Review Intake Specialist
PayCompetitive
LocationRemote
Employment typeFull-Time
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Job Description
- Req#: 3918
Employer Industry: Health Technology Solutions
Why consider this job opportunity:
- Salary range from $16 to $18 per hour
- Eligibility for health, dental, vision, and mental health benefits
- Opportunity for career advancement and growth within the organization
- Supportive and inclusive work environment that values diversity
- Chance to make a meaningful impact on health and wellbeing solutions
What to Expect (Job Responsibilities):
- Perform clerical and administrative duties within the utilization management division
- Answer and route all incoming phone calls while providing accurate information regarding the pre-certification process
- Review and manage service requests efficiently, involving the appropriate department as needed
- Conduct data entry and maintain complete documentation of case information, including compiling monthly reports
- Meet productivity, quality, and turnaround time requirements on a daily, weekly, and monthly basis
What is Required (Qualifications):
- Prior experience in customer service and/or a medical background
- Previous insurance and/or claims experience
- Experience in a medical front office or hospital patient intake, or medical claims processing
- Associate degree preferred in business, management, or a related field
- Strong written and verbal communication skills
How to Stand Out (Preferred Qualifications):
- Proficient in Microsoft Excel, Word, and Outlook
- Ability to manage high volumes of customer service calls
- Demonstrated ability to work independently with excellent judgment
- Accurate data entry skills (40 wpm)
- Knowledge of medical terminology, including ICD-10, CPT, and HCPCS coding desirable
#HealthTechnology #CustomerService #CareerOpportunity #DiversityAndInclusion #HealthBenefits
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See how Virgin Pulse's employee well-being solution helps employees create habits that matter so they can be their best at work and at home.