Utilization Management Representative II - Latham, NY
1 month ago

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.
Job description
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