Kelsey-Seybold

  • Utilization Management Representative

    Location US-TX-Pearland
    Posted Date 1 day ago(5/25/2018 12:42 PM)
    Job ID
    2018-18873
    Category
    Other - Business Support
  • Overview

    Utilization Management Representative

    Location: Pearland Admin Office
    Job Type: Full Time
    Department: Utilization Management


    COMPANY PROFILE

    Kelsey-Seybold Clinic. Your Doctors for Life.

    Since 1949, Kelsey-Seybold Clinic has served its patients with one goal in mind – combine the expertise of physicians in a variety of medical specialties, with the close personal care of a family doctor. Kelsey-Seybold is Houston’s largest community-based physician group, caring for more than 400,000 patients. With 19 clinic locations, we are growing to meet the health care needs of our diverse patient population. Our mission is to provide our team members with exceptional opportunities for professional and personal growth.​​

     

    JOB SUMMARY

    The UR Representative position is responsible for assisting the UR process. The UR Representative is primarily responsible for data entry of clinical information, processing streamlines pre-certification requests, and verifying benefits as needed.  The UR representative will serve as facilitator or communication with clinic, payors and other customers.

     

    EDUCATION REQUIREMENTS & EXPERIENCE REQUIREMENTS

    (A = basics; B = preferred)

     

    Education

    A.

    High school diploma

    B.

    College level courses

    Experience

    A.

    2 –3 years of managed care experience either in a physician office or hospital setting

     

    B.

    MA experience

    Licenses

    A.

    Valid diver’s license

    B.

     

    Special Skills

    A.

    Excellent phone communication skills

     

    B.

     

     

     

    Other

    A.

    Knowledge of medical terminology

    B.

     

     

     

    WORKING ENVIRONMENT

    Office

     

    Options

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