Healthcare Utilization Specialist
hace 2 semanas
Third Way Health, Inc. is a leading technology platform that supports medical practices and healthcare organizations in the United States to enhance the patient experience. We are passionate about supporting physicians and patients from all backgrounds to have a better healthcare experience.
About the PositionWe are seeking full-time Utilization Management agents to join our team in the Medellin area. As a valued member of our team, you'll play a crucial role in enhancing the healthcare experience for thousands of patients and providers in the US.
Job DescriptionAs a Healthcare Utilization Specialist, you will be responsible for performing prior authorization verification and retrospective reviews for elective inpatient admissions, outpatient procedures, post-homecare services, and durable medical equipment to ensure compliance and appropriate utilization. You will make necessary calls as needed to ensure all parties are aligned throughout the process. You will also assess and refer cases to Medical Directors when necessary, ensuring timely and accurate decision-making for complex cases.
You will stay updated on state and federal regulations, as well as accreditation standards, to ensure all processes meet required guidelines and industry standards. You will follow internal policies and procedures diligently to maintain operational efficiency and uphold quality standards within the team.
Additionally, you will accurately log cases in software platforms to track and manage healthcare processes. Required skills and qualifications include a university or associate degree, required knowledge in health insurance (at least 8 months), strong communication skills, expertise in healthcare, managing call center operations, a patient and empathetic attitude, strong time management and organizational skills, adaptability and flexibility, computer literacy, phone skills, and familiarity with complex or multi-line phone systems.
Salary InformationThe estimated annual salary for this position is $60,000-$80,000 based on location and experience.
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Healthcare Utilization Specialist
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Medellín, Antioquia, Colombia Third Way Health, Inc. A tiempo completoCompany OverviewThird Way Health, Inc. is a healthcare technology company that helps medical practices and healthcare organizations improve patient experience while reducing administrative burden. Our mission is to support physicians and enhance the healthcare experience for patients from all backgrounds.About the PositionWe are seeking full-time Utilization...
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Healthcare Utilization Specialist
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Medellín, Antioquia, Colombia Third Way Health A tiempo completoAbout Third Way Health:We are a leading healthcare technology platform that helps medical practices and healthcare organizations improve patient experience while reducing administrative burden.Our Mission:We strive to support physicians and provide patients with a better healthcare experience, regardless of their background.Job Description:In this role, you...
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