Utilization Management Assistant - #1770940
NaphCare
Date: 6 hours ago
City: Birmingham
Contract type: Full time
Work schedule: Full day
Overview NaphCare is hiring a strong Utilization Management Assistant to join our Utilization Management team located at our Corporate Headquarters in Birmingham, AL
This is a Hybrid position
NaphCare is a family owned, medical technology company that has been delivering high quality healthcare to correctional facilities across the nation for over 30 years. Come join our team of over 4000 employees and growing! NaphCare pays well, offers outstanding benefits, and has an incredibly engaged corporate support team to make sure you have what you need to be truly excellent at what you do
NaphCare partners with correctional facilities to provide proactive, patient-focused healthcare. We recognize that we serve a unique and diverse patient population, and our onsite teams take pride in bringing excellence in care to a population in great need. Be part of a world-class team of professionals who are revolutionizing correctional healthcare as you use our cutting-edge resources, including our award-winning electronic operating system
NaphCare Benefits for Full-Time Employees Include:
Prescriptions free of charge through our health plan
Health, dental & vision insurance that starts day one!
Employment Assistance Program (EAP) services
100% vested 401K and Roth with company contribution that starts day one!
Tuition Assistance
Referral bonuses
On-site education
Free Continuing Education!
Term life insurance at no cost to the employee
Generous paid time off & paid holidays
NaphCare has a partnership with NetCE that provides CEU/CME for our staff. NetCE uses a rigorous peer review process to ensure that all activities and content are up-to-date. This service streamlines continuing education for all NaphCare Employees to meet state specific requirements for maintaining licensing
With NaphCare, you'll play a critical role in our continuing mission to be the leading provider of quality healthcare in the correctional industry. If you want a career that will make a difference, choose the company that is different
We support your growth and internal promotion. Once hired, we encourage our employees to continue to seek opportunities for advancement and leadership
Responsibilities Responsibilities for Utilization Management (UM) Liaison:
Assist in performing various clerical and administrative functions, including contacting offsite providers with appointment or billing/claims inquiries
Use Microsoft Office, including Word and Excel, to prepare and maintain monthly reporting and statistical data and correspondence as required by company procedures
Transmit correspondence and medical records via email, mail or fax
Transmit and maintain all medical claims as required by company policies and procedures
Perform scheduling and coordination of offsite appointments when needed
Use all functions of TechCare relevant to the position with no supervision
Monitor and maintain relevant utilization management queue dashboards as well as perform non-licensed initial screening and approvals of specialty care offsite referrals
Proactively take action to solve problems and use objectivity and insightfulness when approaching problems, meet established goals, and take responsibility for results and outcomes
Fundamentally understand the organizational structure and how to appropriately access resources
Demonstrate professionalism by using objectivity, maintaining self control when under pressure, and promoting a positive work environment by setting an example
Build proactive work relationships with supervisors, security staff, healthcare staff, patients, vendors and clients
Qualifications Qualifications for Utilization Management (UM) Liaison:
High School diploma or GED certificate required
Minimum two (2) years of college preferred
One (1) year clerical experience in healthcare setting preferred
Must have computer skills, including working knowledge of Microsoft Word and Excel with a minimum typing speed of 45 wpm
Must possess strong written communication and verbal skills and be able to manage stressful situations
Must have the physical and mental capacity to perform in a fast paced and challenging environment
We know you may have questions before applying. To speak to a recruiter directly, email your questions and/or resume to ***********@naphcare.com with the position and location you’re interested in
Equal Opportunity Employer: disability/veteran
#J-18808-Ljbffr
This is a Hybrid position
NaphCare is a family owned, medical technology company that has been delivering high quality healthcare to correctional facilities across the nation for over 30 years. Come join our team of over 4000 employees and growing! NaphCare pays well, offers outstanding benefits, and has an incredibly engaged corporate support team to make sure you have what you need to be truly excellent at what you do
NaphCare partners with correctional facilities to provide proactive, patient-focused healthcare. We recognize that we serve a unique and diverse patient population, and our onsite teams take pride in bringing excellence in care to a population in great need. Be part of a world-class team of professionals who are revolutionizing correctional healthcare as you use our cutting-edge resources, including our award-winning electronic operating system
NaphCare Benefits for Full-Time Employees Include:
Prescriptions free of charge through our health plan
Health, dental & vision insurance that starts day one!
Employment Assistance Program (EAP) services
100% vested 401K and Roth with company contribution that starts day one!
Tuition Assistance
Referral bonuses
On-site education
Free Continuing Education!
Term life insurance at no cost to the employee
Generous paid time off & paid holidays
NaphCare has a partnership with NetCE that provides CEU/CME for our staff. NetCE uses a rigorous peer review process to ensure that all activities and content are up-to-date. This service streamlines continuing education for all NaphCare Employees to meet state specific requirements for maintaining licensing
With NaphCare, you'll play a critical role in our continuing mission to be the leading provider of quality healthcare in the correctional industry. If you want a career that will make a difference, choose the company that is different
We support your growth and internal promotion. Once hired, we encourage our employees to continue to seek opportunities for advancement and leadership
Responsibilities Responsibilities for Utilization Management (UM) Liaison:
Assist in performing various clerical and administrative functions, including contacting offsite providers with appointment or billing/claims inquiries
Use Microsoft Office, including Word and Excel, to prepare and maintain monthly reporting and statistical data and correspondence as required by company procedures
Transmit correspondence and medical records via email, mail or fax
Transmit and maintain all medical claims as required by company policies and procedures
Perform scheduling and coordination of offsite appointments when needed
Use all functions of TechCare relevant to the position with no supervision
Monitor and maintain relevant utilization management queue dashboards as well as perform non-licensed initial screening and approvals of specialty care offsite referrals
Proactively take action to solve problems and use objectivity and insightfulness when approaching problems, meet established goals, and take responsibility for results and outcomes
Fundamentally understand the organizational structure and how to appropriately access resources
Demonstrate professionalism by using objectivity, maintaining self control when under pressure, and promoting a positive work environment by setting an example
Build proactive work relationships with supervisors, security staff, healthcare staff, patients, vendors and clients
Qualifications Qualifications for Utilization Management (UM) Liaison:
High School diploma or GED certificate required
Minimum two (2) years of college preferred
One (1) year clerical experience in healthcare setting preferred
Must have computer skills, including working knowledge of Microsoft Word and Excel with a minimum typing speed of 45 wpm
Must possess strong written communication and verbal skills and be able to manage stressful situations
Must have the physical and mental capacity to perform in a fast paced and challenging environment
We know you may have questions before applying. To speak to a recruiter directly, email your questions and/or resume to ***********@naphcare.com with the position and location you’re interested in
Equal Opportunity Employer: disability/veteran
#J-18808-Ljbffr
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