Utilization Management Representative II - Latham, NY

Only for registered members Latham, NY , United States

1 month ago

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Job summary

The Utilization Management Representative II is responsible for managing incoming calls, including triage, opening of cases and authorizing sessions.

Responsibilities

  • Managing incoming calls or incoming post services claims work.
  • Determines contract and benefit eligibility; provides authorization for inpatient admission, outpatient precertification, prior authorization, and post service requests.
  • Obtains intake (demographic) information from caller.

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