Utilization Management Representative I
Elevance Health(1 month ago)
About this role
The Utilization Management Representative I supports healthcare authorization processes by coordinating precertification, prior authorization, and benefit eligibility for members and providers. The role is primarily virtual with required in-person training and focuses on ensuring accurate case intake and effective customer communication. It supports utilization review workflows within a health plan environment.
Required Skills
- Customer Service
- Call Handling
- Data Entry
- Authorization
- Benefit Verification
- Medical Terminology
- Clinical Screening
- Communication
- Multitasking
- Problem Solving
Qualifications
- HS Diploma
- GED
About Elevance Health
elevancehealth.comElevance Health, formerly Anthem, Inc., serves people across their entire health journey taking an integrated whole-health approach.
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