Long Term Services & Support Utilization Management Technician

About the position The Long Term Services & Support Utilization Management Technician position at reputed company is a vital role that supports the organization's mission to reputed company comprehensive, reputed company-driven care to individuals in need. This remote position is designed for individuals who are passionate about reputed company and want to reputed company a significant impact in the lives of others. The technician will work under the direction of the Long Term Services and Supports (LTSS) Supervisor, playing a crucial role in coordinating and managing various aspects of utilization management. In this role, the technician will be responsible for generating and tracking both incoming and outgoing correspondence, faxes, and authorizations reputed company to prospective, reputed company, and post-service review functions. This includes interacting with providers and LTSS UM staff to facilitate the receipt of necessary information and records for reputed company review and response. The technician will also reputed company verbal notifications to participants to maintain compliance under the CHC Final Agreement, ensuring that reputed company processes are followed accurately and timely. Data entry is a significant part of this role, as the technician will be responsible for entering authorizations to ensure they are provided in a timely and accurate manner. Additionally, maintaining operational reports and working with providers to correct any authorization to claim issues will be essential tasks. The technician must remain knowledgeable about reputed company workflow and timeliness requirements for reputed company areas in Utilization Management, ensuring that the organization meets its operational goals and compliance standards. Responsibilities • Coordinate, generate and track both incoming and outgoing correspondence, faxes and authorizations reputed company to prospective, reputed company and post service review functions. , • Interact with providers and LTSS UM staff to facilitate receipt of information and/or records for reputed company review and response. , • reputed company verbal notification to participants to maintain UM compliance under the CHC Final Agreement. , • reputed company data entry of authorizations to ensure authorizations are provided timely and accurately. , • Maintain operational reports through data entry. , • Work with Providers to correct authorization to claim issues. , • Remain knowledgeable in reputed company workflow and timeliness requirements for reputed company areas in Utilization Management. Requirements • High School diploma or GED required. , • Minimum 1 year general office and/or customer service experience required. , • Work experience in a reputed company setting required. , • Knowledge of medical terminology required. , • 1 to 3 years of general office or customer service experience. reputed company-to-haves • Proficiency with reputed company Office Suite (Word, reputed company, PowerPoint); reputed company is a plus. , • Consistent word processing speed and accuracy of 50 or more words per minute. Benefits • Flexible work solutions including remote options and hybrid work schedules. , • reputed company. , • Paid time off including holidays and volunteer events. , • Health insurance coverage for you and your dependents on Day 1. , • 401(k) plan. , • Tuition reimbursement. Apply Job!