Resource Specialist- Utilization Management
Job description
Resource Specialist- Utilization Management
- (3213159)
The position provides administrative support of the Utilization Management (UM) functions within the Care Coordination department. The Utilization Management Assistant works with members of the Utilization Management team and the Care Coordination Specialist to ensure communication between the hospital and payors is timely and accurate, and will assume responsibility for record transmission to Keppro. Additionally the UM assistant will take responsibility for obtaining and managing authorizations for Mass Health wheelchair van and curb to curb service out of the hospital and assist with other transportation needs as assigned by Manager/Director, and will assist with data management in the 4next platform for accurate analytics.
Education
- Associates or Bachelor of Science degree or equivalent experience preferred
Experience
- Minimum of two years of administrative support experience
- Hospital based administrative experience helpful
- Previous work in a healthcare environment preferred
- Experience working in a multidisciplinary professional environment
Job Knowledge and Skills
- Knowledge of Microsoft Word and Excel helpful
- Previous experience with EPIC helpful
- Basic medical terminology knowledge helpful
- Excellent attention to detail and problem solving
- Excellent customer service skills critical
- Effective interpersonal skills essential
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