• WORKERS COMP UTILIZATION REVIEW – EXPERIENCE REQUIRED
• Manage and interact with Client and Clients staff on a daily basis
• Assist with all client issue resolution in a timely manner…
• Receive via fax, e-mail, referrals (prospective, retrospective, concurrent, reconsiderations, and appeals) from providers and adjusters with requests for treatment, enter into proprietary software, and follow-through process until completed.
• Obtain authorization from adjusters to proceed with the review for all provider referrals when required.
• Assign UR requests to a physician reviewer based on protocols and state guidelines.
• Pay close attention to detail and be timely with all responses either via telephone or email
• Other duties as assigned:
• Keep various logs
• NOTE: Intake coordinators are subject to periodic, random QA reviews of their work for accuracy and adherence to protocol and best practices.
Job Type: Full-time
Pay: $18.00 – $25.00 per hour
Expected hours: 40 per week
Benefits:
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance
Schedule:
• Monday to Friday
Experience:
• Utilization review in Workers Comp: 3 years (Required)
• Medical terminology: 2 years (Required)
• Microsoft Office: 3 years (Required)
Work Location: Remote
