Job Information
Robert Half Utilization Management Representative in Pearland, Texas
Description
We are offering a contract employment opportunity for a Utilization Management Representative in Pearland, Texas. The Utilization Management Representative role is primarily focused on providing office support within the Utilization Management and Population Health Department, with a strong emphasis on data entry, reporting, planning, review, and supervising collection processes.
Responsibilities:
• The UMR position will assist with incoming authorization requests data entry of clinical information pre-certification requests.
• Direct communication with KSC Clinic Representatives as needed.
• Clerical support relative to the Bed Day process.
• Collection reporting clarification and entry of bed day data and pre and post-acute certification requests for specific services.
Requirements
• 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.
• Epic System usage.
Robert Half is the world’s first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.
Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app (https://www.roberthalf.com/us/en/mobile-app) and get 1-tap apply, notifications of AI-matched jobs, and much more.
All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.
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