About this role
Role Overview
- contribute to the administration of utilization management
- perform varied activities and moderately complex administrative/operational/customer support assignments
- provide non-clinical support for the policies and procedures ensuring best treatment, care or services for members
- follow standard policies/practices that allow for some opportunity for interpretation/deviation
- work within defined parameters to identify work expectations and quality standards
Requirements
- Must reside in the state of Kentucky or a county that is contiguous to Kentucky state border in Ohio, Indiana, Illinois, Missouri, Tennessee, Virginia, or West Virginia.
- One (1) or more years administrative or technical support experience.
- Working knowledge of MS Office including Word, Excel, and Outlook in a Windows based environment.
- Proficient using electronic medical record and documentation programs.
- Proficient experience with medical terminology and/or ICD-10 codes.
- Bachelor's degree in business, finance or a related field.
- Prior member service or customer service telephone experience.
- Experience with Utilization Review and/or Prior Authorization, preferably within a managed care organization.
Benefits
- medical, dental and vision benefits
- 401(k) retirement savings plan
- time off (including paid time off, company and personal holidays, paid parental and caregiver leave)
- short-term and long-term disability
- life insurance
- many other opportunities