Health Services - Coord, Utilization Mgmt I

Talteam

Baltimore, MD

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JOB DETAILS

SKILLS

Administrative Skills, Business Practices, Communication Skills, Cross-Functional, Current Procedural Terminology (CPT), Customer Support/Service, Data Collection, Data Entry, Detail Oriented, Documentation, Healthcare, ICD-10, Internet Technology, Managed Care, Medical Office Administration, Medical Terminology, Medical Treatment, Microsoft Excel, Microsoft Office, Microsoft PowerPoint, Microsoft Word, Multitasking, Operational Audit, Organizational Skills, Problem Solving Skills, Quality of Care, Telephone Skills, Utilization Management

LOCATION

Baltimore, MD

POSTED

3 days ago

Supports the Utilization Management clinical teams by assisting with non-clinical administrative tasks and responsibilities related to pre-service, utilization review, care coordination and quality of care.

ESSENTIAL FUNCTIONS:
Performs member or provider related administrative support which may include benefit verification, authorization creation and management, claims inquiries and case documentation.
Reviews authorization requests for initial determination and/or triages for clinical review and resolution.
Provides general support and coordination services for the department including but not limited to answering and responding to telephone calls, taking messages, letters and correspondence, researching information and assisting in solving problems.
Assists with reporting, data tracking, gathering, organization and dissemination of information such as Continuity of Care process and tracking of Peer to Peer reviews.

Qualifications
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable
accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education Level: High School Diploma
Experience: 3 years experience in health care claims/service areas or office support.

Preferred Qualifications
Two years' experience in health care/managed care setting or previous work experience within division
Knowledge of CPT and ICD-10 coding.

Knowledge, Skills and Abilities (KSAs)
Ability to effectively participate in a multi-disciplinary team including internal and external participants., Proficient
Excellent communication, organizational and customer service skills. , Proficient
Knowledge of basic medical terminology and concepts used in managed care., Proficient
Knowledge of standardized processes and procedures for evaluating medical support operations business practices., Proficient
Excellent independent judgment and decision-making skills, consistently demonstrating tact and diplomacy. , Proficient
Ability to pay attention to the minute details of a project or task, Proficient
Experienced in the use of web-based technology and Microsoft Office applications such as Word, Excel, and Power Point, Proficient

Required Skills:
Communication, data entry, medical terminology, medical knowledge, ability to multi-task

**Talteam Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability.**

About the Company

Talteam

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