Utilization Management Representative
Location: Pearland Admin Office
Job Type: Full Time
Department: Utilization Management
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.
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)
High school diploma
College level courses
2 –3 years of managed care experience either in a physician office or hospital setting
Valid diver’s license
Excellent phone communication skills
Knowledge of medical terminology