Utilization Management Representative I
Elevance Health(1 month ago)
About this role
The Utilization Management Representative I coordinates precertification and prior authorization cases for healthcare services. The role supports case intake, eligibility determination, and authorization processing while working virtually from the Winston-Salem or Durham, NC area. It operates within Elevance Health's care support function and focuses on facilitating provider and member interactions.
Required Skills
- Phone Support
- Benefits Eligibility
- Prior Authorization
- Data Entry
- Clinical Screening
- Customer Relations
- Medical Terminology
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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