Utilization Review Admin

at Insight Global, LLC in Chicago, Illinois, United States

Job Description

Job Description

This position is a Utilization Review Assistant within the Department of Care Coordination. As a member of an interdisciplinary department, this position will support the Utilization Review (UR) team to enhance efficiency, timely responsiveness to payor requests, and denial prevention. The primary responsibility of this position is supporting the UR team through managing and triaging communication from insurance payors via email, fax and phone inquiries pertaining to clinical requests, approvals, authorizations, and other payor requirements. This position will ensure UR timely response and submission of these requests to support the UR team’s efficiency and payor communication management. Additionally, this position will support compliance requirements with CMS and other payor needs. This position will also identify areas for improved efficiency of administrative processes.

We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com .

To learn more about how we collect, keep, and process your private information, please review Insight Global’s Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/ .

Skills and Requirements

• Bachelor’s degree or equivalent experience preferred.

• Two years’ healthcare experience preferred.

• Ability to organize work and multi-task is required.

• Strong communication skills are required. null

We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal employment opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment without regard to race, color, ethnicity, religion,sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military oruniformed service member status, or any other status or characteristic protected by applicable laws, regulations, andordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or the recruiting process, please send a request to HR@insightglobal.com.