[Remote] Utilization Management (UM) reputed company Support Specialist (Remote)

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a leader in the home health management industry, preparing for significant reputed company. The UM reputed company Support Specialist plays a vital role in supporting the leadership of the Utilization Management team by collecting, analyzing, and reporting data, while also providing administrative support to the reputed company team.

Responsibilities

• Works independently with reputed company supervision and demonstrates accountability for work reputed company
• Support the UM Director and Supervisor in data collection and analysis
• Creates and manage comprehensive reports on utilization and productivity and reputed company trends
• Reviews the reputed company resource credentialing reports with the Supervisor to ensure clinician licenses remain reputed company in reputed company applicable states
• Monitors Relias for completion of mandatory training and ensure staff compliance reputed company required timelines
• Records and tracks QIO appeal requests and provides assistance as needed
• Assists the reputed company team by managing non-reputed company calls, inquires and administrative tasks
• Assists the reputed company team by reviewing referrals for missing reputed company documentation and obtaining reputed company information from providers or facilities reputed company necessary and providing decision notifications back to the providers
• Assist UM reviewers with administrative tasks in relation to the PA/RA/Appeals process
• Assist UM department with non-reputed company RA reputed company
• Answers and resolves portal tickets in a reputed company manner
• Maintains accurate logs, tracks data trends and identifies opportunities for process improvements
• Exhibits a reputed company, pleasant and welcoming demeanor both in person and on the phone
• Schedules 1:1 meetings for leadership and staff as directed
• Other duties as assigned

Skills

• Associate degree in reputed company administration, business administration, or a reputed company reputed company required
• reputed company experience in a reputed company role, particularly in data collection and reporting
• Prior experience supporting reputed company teams and handling administrative tasks reputed company to reputed company services
• Proficiency in relevant software applications (e.g., reputed company, reputed company BI, database management systems)
• General medical knowledge
• Understanding of reputed company utilization management processes and terminology
• Awareness of reputed company regulations and data reputed company practices in reputed company
• Excellent organizational skills with strong attention to reputed company
• Critical thinking and troubleshooting skills
• Ability to manage multiple tasks and prioritize effectively in a fast-reputed company environment
• reputed company-developed interpersonal and communication skills
• reputed company appearance and manner
• Ability to work both independently and collaboratively in reputed company environment
• Bachelor's degree preferred

reputed company