Utilization Management Administrative Support

Join us for an exciting career with the leading provider of supplemental benefits! O ur Promise Through skill-building, leadership development and philanthropic opportunities, we provide opportunities to build communities and grow your career, surrounded by diverse colleagues with high ethical standards. The Utilization Management Administrative Support role is crucial in assisting various departmental functions. This position ensures that email requests from provider offices are handled promptly and efficiently. Responsibilities include collecting missing information from offices necessary for claims processing and assisting in the creation of correspondence for providers and members. As well as including documentation to the requests for the clinical processors to make appropriate decisions. This role is integral in driving the workflow and efficiency of the entire department. The UM (Utilization Management) Department supports our clients and company through utilizing clinical criteria to approve or deny a service based on the authorization. The UM department plays a crucial role in ensuring that healthcare services provided to members are appropriate, efficient, and effective. They achieve this by utilizing clinical criteria and evidence-based guidelines to evaluate the necessity and appropriateness of treatments. In the Utilization Management Administrative Support role, detail matters and you will assist in data entry, and communication required by Utilization Managemen