This is a Fully Remote Job
About Our Client:
The organization operates in the risk management solutions industry, focusing on workers’ compensation, auto, health, and disability management. Founded in 1987 and publicly traded since 1991, the organization addresses challenges in these sectors by providing integrated and innovative solutions supported by continuous investment in human capital and technology. The team comprises over 4,000 employees across the United States, committed to values such as Accountability, Commitment, Excellence, Integrity, and Teamwork.
About the Opportunity:
The UTILIZATION REVIEW INTAKE SPECIALIST supports the Utilization Review and Case Management departments by managing intake tasks that ensure accurate processing of precertification requests and related communications. The role contributes by maintaining up-to-date patient and provider information and facilitating timely, professional interactions with stakeholders, which is essential for efficient case management and service delivery.
Responsibilities:
Take calls related to precertification requests
Verify accuracy of patient, provider, and facility information in the system
Enter notes and service requests into the CareMC system
Communicate with stakeholders promptly and professionally
Perform additional duties as assigned
Requirements:
High school diploma or equivalent required
Associate degree or equivalent preferred
Ability to manage multiple priorities in a fast-paced team environment
Excellent written and verbal communication skills
Competence with Microsoft Office, including Excel
Strong interpersonal, time management, and organizational skills
Ability to remain composed and communicate diplomatically under stress
Capability to work independently and collaboratively
Pay Range and Compensation Package:
Pay range: $16.74 to $26.92 per hour
Compensation varies by location, skills, experience, and qualifications
Benefits & Perks:
Medical (HDHP) with Pharmacy
Dental insurance
Vision insurance
Long Term Disability
Health Savings Account
Flexible Spending Account options
Life, Accident, and Critical Illness Insurance
Pre-paid Legal Insurance
Parking and Transit FSA accounts
401(k) and ROTH 401(k)
Paid time off
Equal Opportunity Statement:
Our client is an equal opportunity employer. They celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, or national origin.
Note:
TalentHop is a recruitment partner of this role. Please note that all employment decisions, including candidate assessment, interviews, hiring, compensation, and employment terms, are made exclusively by the hiring employer.