Utilization Management Assistant

4 weeks ago


Ann Arbor, Michigan, United States University of Michigan Full time
Job Summary

As a Utilization Management Assistant at the University of Michigan, you will play a vital role in ensuring the efficient and effective management of patient care. Your primary responsibility will be to perform clinical reviews of patient information for online authorizations with multiple payers. You will also be responsible for maintaining the accuracy of the payer grid by notifying the appropriate staff and Revenue Cycle of changes in fax numbers, etc.

Key Responsibilities

* Perform clinical reviews of patient information for online authorizations with multiple payers
* Maintain the accuracy of the payer grid by notifying the appropriate staff and Revenue Cycle of changes in fax numbers, etc.
* Obtain authorization for services from third-party payers and notify RN Case Managers of issues with authorizations
* Enter authorization numbers and approval days/dates into the appropriate software system for utilization management and electronic medical records
* Fax clinical reviews to payers, maintain confirmations, document completely and accurately activities performed

Requirements

* High School Diploma or GED
* Associate's degree in social sciences or other related field or an equivalent combination of education and experience
* 2-3 years of experience
* Analytical skills to assess urgency and complexity of workflow
* Proficiency in medical terminology
* Proficiency in use of computer technology and experience with Microsoft Office software applications
* Strong interpersonal communication skills, including problem-solving and decision-making
* Demonstrated telephone communication skills
* Experience in a healthcare environment
* Ability to work well with physicians and other healthcare providers
* Strong customer service and ability to work in a team environment

What We Offer

* Excellent medical, dental, and vision coverage effective on your first day
* 2:1 match on retirement savings
* Opportunities for professional growth and development

Why Work at the University of Michigan?

The University of Michigan is a world-renowned academic health system that is committed to providing exceptional patient care, education, and research. As a member of our team, you will have the opportunity to work with a talented and diverse group of professionals who are dedicated to making a difference in the lives of our patients and communities. We offer a comprehensive benefits package, opportunities for professional growth and development, and a work environment that is supportive and inclusive. If you are a motivated and detail-oriented individual who is passionate about delivering exceptional patient care, we encourage you to apply for this exciting opportunity.

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