Utilization Management Representatives I
Elevance Health(18 days ago)
About this role
The Utilization Management Representative I coordinates case reviews involving precertification and prior authorization for health services. They handle patient and provider inquiries, review eligibility, and support clinical screening processes in a virtual team environment. The role emphasizes customer service and compliance with health plan policies.
Required Skills
- Customer Service
- Claims Processing
- Medical Terminology
- Health Insurance
- Data Entry
- Communication
- Clinical Screening
- Authorization
- Health Plan Policies
- Call Center
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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