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Utilization Management Representative

5/9/2025

N/A

Job Summary

A company is looking for a Utilization Management Phone Representative - National Remote.

Key Responsibilities
  • Process incoming calls and maintain a log of call reasons
  • Assist patients with referral and determination inquiries using referral management systems
  • Input verbal referral requests and manage documentation for referral management functions
Required Qualifications
  • High School Diploma / GED or equivalent work experience
  • Must be 18 years of age or older
  • 1+ years of experience in a medical environment, office, or clinic
  • Experience with computers and Windows-based programs, including Microsoft Word, Excel, and Outlook
  • Ability to work normal business hours of 8:00am - 5:00pm PST, with potential for occasional overtime

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