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Utilization Management Specialist (Home-Based) - Prior Authorization

Remote: 
Full Remote
Contract: 
Part time
Work from: 
Minnesota (USA)

Offer summary

Qualifications:

Bachelor's degree in healthcare, nursing, or a related field is preferred., Experience in utilization management or prior authorization processes is essential., Strong analytical skills and attention to detail are required., Excellent communication skills for interacting with healthcare providers and clients..

Key responsibilities:

  • Review and assess prior authorization requests for medical services and procedures.
  • Collaborate with healthcare providers to gather necessary information for approvals.
  • Ensure compliance with regulatory requirements and company policies.
  • Maintain accurate documentation and reporting of authorization decisions.

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Sanford Research http://www.sanfordresearch.org
201 - 500 Employees
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