Utilization Management Assistant
Location: Onsite in Dubuque, IA. Also accepting remote applicants.
Are you passionate about patient care and thrive in a fast-paced, professional environment? We are seeking a dedicated Utilization Management Assistant to join our healthcare team. We are looking for individuals with experience in a medical setting, including but not limited to a receptionist, scheduler, insurance verification, LPN, CNA, Medical Assistants, or individuals with a background in customer service who are looking to make a meaningful impact behind the scenes. If you are looking to get into a professional office setting with daytime office hours and weekends/holidays off, this is the role for you!
The Utilization Management Assistant answers first level calls in Utilization Review for HealthCheck360 participants. They will evaluate certification requests by reviewing the group specific requirements and will also triage the call to determine if a Utilization Review Nurse is needed to complete the call. You will be responsible for reviewing medical records, coordinating with healthcare providers, and ensuring that patients receive appropriate, cost-effective care in accordance with clinical guidelines and insurance requirements.
Preferred Skills
- Communication - Strong interpersonal skills to be able to connect with patients, doctors, internal team members, and providers
- Customer Service - Friendly demeanor and understanding to be able to relay sensitive information to members
- Detail Oriented - Accuracy and attention to detail when reviewing pre-certifications and plans
Qualifications:
- CNA, LPN, or Medical Assistant preferred
- Background in patient health support or care
- 1+ years of experience within this field
Full-Time Benefits - Most benefits start day 1
- Medical, Dental, Vision Insurance
- Flex Spending or HSA
- 401(k) with company match
- Profit-Sharing/Defined Contribution (1-year waiting period)
- PTO/Paid Holidays
- Company-paid ST and LT Disability
- Maternity Leave/Parental Leave
- Subsidized Parking
- Company-paid Term Life/Accidental Death Insurance
About HealthCheck360
HealthCheck 360 was created with the employer's needs and the participant's experience in mind. We focus on reducing medical costs, while increasing employee engagement and productivity. This is accomplished by providing onsite biometric screenings, engaging participants through technology and programming, educating the participant with risk-specific targeted communications, and supporting positive behavior change through our Health Coaching and Condition Management programs.
Skills Required
- Background in patient health support or care (receptionist, scheduler, insurance verification, LPN, CNA, Medical Assistant, or customer service experience)
- 1+ years of experience in a medical or utilization review related field
- CNA, LPN, or Medical Assistant (preferred)
- Strong communication and interpersonal skills
- Customer service experience and friendly demeanor
- Detail oriented with accuracy when reviewing pre-certifications and plans
What We Do
HealthCheck360 is a corporate wellness and health management company focused on reducing medical costs, workers compensation claims, and absenteeism while increasing employee engagement and productivity. This is accomplished by identifying present risks with a comprehensive Health Risk Assessment with onsite biometric screenings, engaging participants through technology and programming, educating the participant with risk-specific targeted communications, and supporting positive behavior change through our HealthCheck360 Coaching and Condition Management programs. HealthCheck360 was created with the employer's needs and the participant's experience in mind. The program is designed to integrate with your existing benefit plan design and to add value to wellness and health management initiatives. Our suite of wellness services is carrier portable, multilingual, and designed to minimize the commitment from your management and Human Resource staff.
