Marissa Althauser

Utilization Review Care Coordinator Remote Texas HealthCare Support is actively seeking a Utilization Review Care Coordinator Remote Texas to fill an opening in Houston, Texas. Daily Responsibilities for Utilization Review Care Coordinator Remote Texas:

•     Responds to calls from the provider hotline for referral/authorization initiation and questions. Answers in a timely and professional manner. Forwards calls to appropriate nursing or medical staff as required or needed. Forwards calls efficiently to other departments when appropriate. Responsible for ensuring that provider hotline calls are answered within established regulatory time standards to minimize hold time and avoid abandoned calls. Meets required call handling standards and quality reviews.
•        Assists in monitoring reports and refers to appropriate UM Nurse or Manager.
• Data entry and processing of fax and telephone requests to meet performance and quality standards while maintaining regulatory timeframes.  
•  Monday to Friday  8-5 or 9-6

Required Qualifications for Utilization Review Care Coordinator Remote Texas:

• High School or equivalent; some years College, preferred
• 2 years’ experience in Referrals/Authorizations.
• At least 2-4-year insurance-related experience in a managed care environment or health plan experience.
• Experience in Medical coding preferred
• Microsoft Office (Word, Excel, Outlook)

 Benefits for Pharmacy Technician:

• Health Insurance
• Dental Insurance
• Life Insurance
• Employee Assistance Program (EAP)
• Access to Investment Accounts
• Career and educational tools within our Ingenovis ACT (advocacy) Program

Pay Details: $20 - $23/ Hour Interested in Being Considered? If you are interested in applying to this position, please click Apply Now for immediate consideration. For additional questions, you may contact us at [email protected]. Please include your phone number, Job Title, and location and our recruiters will reach out. Healthcare Support Staffing, LLC is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.