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

      We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately.
      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

      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.