![Professional Management Enterprises](https://media.trabajo.org/img/noimg.jpg)
Utilization Management Rep
1 month ago
We are looking for a utilization management representative to join our team. This position is a remote role but you must live within 50 miles of Indianapolis, IN to be eligible. This role is Monday - Friday 8am- 5pm EST and the pay for this role is $18.00/hr.
- Responsible for coordinating cases for precertification and prior authorization review
- Managing incoming calls or incoming post services claims work.
- Determines contract and benefit eligibility
- Provides authorization for inpatient admission, outpatient certification, and post service requests
- Refers cases requiring clinical review to a nurse reviewer
- Responsible for the identification and data entry of referral requests into the UM system
- Responds to telephone and written inquiries from clients, providers and in-house departments
- Other duties as assigned
Requires:
- HS Diploma/GED
- Minimum 1 year of customer service experience or call-center experience or any combination of education and experience
- Medical terminology training and experience in the medical or insurance field is preferred
- Needs to have strong oral, written and interpersonal communication skills, problem-solving skills, and analytical skills
-
Sales rep
3 weeks ago
Indianapolis, United States RTA of Iowa Full timeJob DescriptionJob DescriptionJoin Our Sales Team at RTA in Indianapolis IN!Are you a sales superstar with a knack for building relationships and closing deals? Do you thrive in a fast-paced environment and enjoy the thrill of meeting and exceeding sales targets? If so, we want you on our team as a Sales rep for Metronet in Indianapolis!Job...
-
Sales rep
1 week ago
Indianapolis, United States RTA of Iowa Full timeJob DescriptionJob DescriptionJoin Our Sales Team at RTA in Indianapolis IN!Are you a sales superstar with a knack for building relationships and closing deals? Do you thrive in a fast-paced environment and enjoy the thrill of meeting and exceeding sales targets? If so, we want you on our team as a Sales rep for Metronet in Indianapolis!Job...
-
Outside Sales Rep
2 weeks ago
Indianapolis, United States XL Parts LLC Full timeJob DescriptionJob DescriptionOutside Sales RepresentativeReporting To: District Sales ManagerDirect Reports: NoStatus: Full-TimeExempt/Non-Exempt: ExemptDivision: Sales Job Purpose:The Outside Sales Rep. is pivotal in building and maintaining relationships with our clients. This role is a platform to showcase your B2B sales expertise by developing...
-
Outside Sales Rep
2 months ago
Indianapolis, United States XL Parts LLC Full timeJob DescriptionJob DescriptionOutside Sales RepresentativeReporting To: District Sales ManagerDirect Reports: NoStatus: Full-TimeExempt/Non-Exempt: ExemptDivision: Sales Job Purpose:The Outside Sales Rep. is pivotal in building and maintaining relationships with our clients. This role is a platform to showcase your B2B sales expertise by developing...
-
Outside Sales Rep
1 week ago
Indianapolis, United States XL Parts LLC Full timeJob DescriptionJob DescriptionOutside Sales RepresentativeReporting To: District Sales ManagerDirect Reports: NoStatus: Full-TimeExempt/Non-Exempt: ExemptDivision: Sales Job Purpose:The Outside Sales Rep. is pivotal in building and maintaining relationships with our clients. This role is a platform to showcase your B2B sales expertise by developing...
-
Indianapolis, United States Professional Management Enterprises Full timeJob DescriptionJob DescriptionDescription:Ideal candidate will have Behavioral Health experience in a health care setting and or Utilization Review/ Case Management. This is a full-time position Sunday-Thursday 8am-5pm. The pay for the role is $78,000/yr. This position is primarily provider facing.· Uses appropriate screening criteria knowledge and clinical...
-
Indianapolis, United States Professional Management Enterprises Full timeJob DescriptionJob DescriptionDescription:Ideal candidate will have Behavioral Health experience in a health care setting and or Utilization Review Case Management. This is a full-time position Sunday-Thursday 8am-5pm. The pay for the role is $80,000/yr. This position is primarily provider facing.· Uses appropriate screening criteria knowledge and clinical...
-
Indianapolis, United States Professional Management Enterprises Full timeJob DescriptionJob DescriptionDescription:Ideal candidate will have Behavioral Health experience in a health care setting and or Utilization Review Case Management. This is a full-time position Sunday-Thursday 8am-5pm. The pay for the role is $80,000/yr. This position is primarily provider facing.· Uses appropriate screening criteria knowledge and clinical...
-
Charge Entry Rep
3 weeks ago
Indianapolis, United States JWM Neurology LLC Full timeType: This is a full-time position, days and hours of work are Monday-Friday 8 a.m.-5p.m.Supervision Exercised: None. Supervision Received: Reports to Team Lead/Office Manager.Summary/Objective: The Charge Entry position is responsible for accurate entry of physician charges. Essential Functions: Responsible for accurate entry of physician charges ...
-
Charge Entry Rep
3 weeks ago
Indianapolis, United States JWM Neurology Full timeType: This is a full-time position, days and hours of work are Monday-Friday 8 a.m.-5p.m. Supervision Exercised: None. Supervision Received: Reports to Team Lead/Office Manager. Summary/Objective: The Charge Entry position is responsible for accurate entry of physician charges. Essential Functions: Responsible for accurate entry of physician charges ...
-
Charge Entry Rep
2 weeks ago
Indianapolis, United States JWM Neurology Full timeType: This is a full-time position, days and hours of work are Monday-Friday 8 a.m.-5p.m. Supervision Exercised: None. Supervision Received: Reports to Team Lead/Office Manager. Summary/Objective: The Charge Entry position is responsible for accurate entry of physician charges. Essential Functions: Responsible for accurate entry of physician charges ...
-
Charge Entry Rep
1 week ago
Indianapolis, United States JWM Neurology LLC Full timeType: This is a full-time position, days and hours of work are Monday-Friday 8 a.m.-5p.m.Supervision Exercised: None. Supervision Received: Reports to Team Lead/Office Manager.Summary/Objective: The Charge Entry position is responsible for accurate entry of physician charges. Essential Functions: Responsible for accurate entry of physician charges ...
-
Customer Service Rep
4 weeks ago
Indianapolis, United States Airtron Heating & Air Conditioning - Indianapolis Full timeJob DescriptionJob DescriptionAirtron Heating & Air Conditioning of Indianapolis in Indianapolis, IN is calling all customer service rockstars to apply to join our amazing call center team as a full-time Customer Service Rep!WHY YOU SHOULD JOIN OUR TEAMWe are an established HVAC company with a casual atmosphere, weekly paychecks, and flexible scheduling. We...
-
Customer Service Rep
1 week ago
Indianapolis, United States Airtron Heating & Air Conditioning - Indianapolis Full timeJob DescriptionJob DescriptionAirtron Heating & Air Conditioning of Indianapolis in Indianapolis, IN is calling all customer service rockstars to apply to join our amazing call center team as a full-time Customer Service Rep!WHY YOU SHOULD JOIN OUR TEAMWe are an established HVAC company with a casual atmosphere, weekly paychecks, and flexible scheduling. We...
-
Utilities & Facilities Manager
3 weeks ago
Indianapolis, United States Heartland Food Products Group Full timeHeartland Food Products Group is a global leader in the consumer packaged goods (CPG) industry, producing low-calorie sweeteners, coffee, coffee creamers and liquid water enhancers. We manufacture and market Splenda, the #1 brand in the low calorie sweetener category and the most recognized in the world. We make coffee, tea and water taste better and help...
-
Utilities & Facilities Manager
1 week ago
Indianapolis, United States Heartland Food Products Group Full timeHeartland Food Products Group is a global leader in the consumer packaged goods (CPG) industry, producing low-calorie sweeteners, coffee, coffee creamers and liquid water enhancers. We manufacture and market Splenda, the #1 brand in the low calorie sweetener category and the most recognized in the world. We make coffee, tea and water taste better and help...
-
Outside Sales Rep HVAC
2 months ago
Indianapolis, United States BME Full timeJob DescriptionJob DescriptionOutside Sales Rep - HVACIndianapolis, IndianaBME is in the people business. BME strives to be the company where the BEST people want to spend their careers. Our primary goal is to create great opportunities for every employee to grow and fulfill their career aspirations. At BME, you are the key to our success and all of us at...
-
Customer Service Rep. II
3 weeks ago
Indianapolis, United States BCforward Full timeCustomer Service Rep. II BCForward is currently looking for Customer Service Rep. II (Remote) in Indianapolis, IN 46214Position Title: Customer Service Rep. II (Remote)Location: Indianapolis, IN 46214Expected Duration: 6+ months.Estimated Start Date: 5/27/2024Pay Rate: $22/hr on W2Summary: The main function of a call center/customer service specialist is to...
-
Customer Service Rep. II
1 week ago
Indianapolis, United States BCforward Full timeCustomer Service Rep. II BCForward is currently looking for Customer Service Rep. II (Remote) in Indianapolis, IN 46214Position Title: Customer Service Rep. II (Remote)Location: Indianapolis, IN 46214Expected Duration: 6+ months.Estimated Start Date: 5/27/2024Pay Rate: $22/hr on W2Summary: The main function of a call center/customer service specialist is to...
-
Utilization Management, RN, IN
5 days ago
Indianapolis, United States McLaren Integrated HMO Group Full timeWe are looking for a Utilization Management, RN - IN to join us in leading our organization forward. McLaren Integrated HMO Group (MIG), a division of McLaren Health Care Corporation, is an organization with a culture of high performance and a mission to help people live healthier and more satisfying lives. McLaren Health Plan and MDwise, Inc.,...