Job ID: OG7307281120
Location: Pearland, TX
Category: Clerical/Office
Employment Type: Contract
Utilization Management Representative
Zip Code: Pearland, TX 77584 | Location: Highway 288 South
Employment Type: Temporary | Workplace Type: On-site
Healthcare Specialty: Billing Services | Salary: $25.50 an hour
A well-established healthcare organization is teaming up with Team1Medical Staffing is seeking a Utilization Management Representative to join their Pearland team. Work behind the scenes with a team whose mission is to improve the health of the community. If you have utilization management experience and want to work with a healthcare organization in the Pearland area, submit your resume today!
Utilization Management Representative’s Responsibilities
- Provide office support for all units within the Utilization Management and Population Health Department
- Assist with incoming authorization requests, data entry of clinical information, and pre-certification requests
- Responsible for clerical support relative to the Bed Day process
- Handle collecting, reporting, clarification, and entry of data, pre- and post-acute certification requests for specific services
- Complete collection of non-clinical data, report generation, health plan coordination for non-clinical issues, and other administrative duties that are required to provide comprehensive coordination of services
- Handle and direct referral status requests received and assist with requesting clinical updates via phone and fax from facilities
Utilization Management Representative’s Qualifications
- High School Diploma or GED required
- Minimum 2-3 years of managed care experience either in a physician office or hospital setting health plan, ACO or other managed care setting.
- Knowledge of medical terminology, HMO, PPO and referral processes.
- Strong communication skills and time management skills.
- Must be able to pass a pre-employment drug screening and criminal background check
Company Culture & Perks
- Located immediately off the highway for easy access
- Minutes away from Pearland Town Center with endless shopping and restaurants
- Work for a healthcare organization that values patient care, customer satisfaction, and a supportive environment
- Work in a clinic to improve the quality and value of healthcare delivered in the community
- During your employment with Team1Medical Staffing, you are eligible to enroll in our benefits program including medical (3 plans to choose from), dental, disability, critical illness, life, vision, accident, and behavioral health insurance. Additional benefits include 401K, direct deposit, and our referral bonus program!
Salary: $25 an hour
Utilize your utilization management experience to work for a well-established healthcare organization, apply today!
Why Team1Medical?
Team1Medical is one of the most trusted medical staffing agencies in Houston, TX. Our team believes in the importance of learning who you are as a person and a professional. We offer Direct Hire, Temp-to-hire, and PRN positions to allow you to choose the opportunities that best fit your needs. Whether you are an experienced professional or just launching your career, Team1Medical will invest in your success. View more open positions at www.team1medical.com.
Team1Medical is an affiliate of The Reserves Network, a family-owned and veteran-founded company. Since 1987, we have been a trusted partner to employers and job seekers within the healthcare community. As an equal-opportunity employer, we value our employees and foster an environment of respect, integrity, and trust in every aspect of employment. However you identify and whatever your background, we encourage you to apply today.
