Senior BPM Associate (UM Intake Analyst)

UST


Date: 12 hours ago
City: Taguig
Contract type: Full time
Role Description

UST is searching for a Healthcare Utilization Management Intake Analyst who will support coordination of medical services including utilization management intake, requesting medical records, and provider requests to promote effective utilization of healthcare services.

  • Provide support services to team members by answering incoming telephone calls, taking messages, researching information and building authorizations in the UM system.
  • Requesting medical records for pending authorizations or continued stay authorizations.
  • Generate UM letters for members and providers when authorizations are not required.
  • Refers to needed services in accordance to benefit plan.
  • Maintain accurate and complete documentation of required information that meets quality standards.
  • Protect the confidentiality of the member information and adheres to the company policies regarding confidentiality.
  • Perform other duties as assigned

Qualifications

  • Associate or bachelor’s degree in health care related field is an advantage but not required
  • Minimum of one year experience in a health care related field; preferred setting is hospital, medical doctor’s office, or health insurance company
  • Experience with medical terminology and concepts used in the healthcare delivery system, provider office, or the insurance industry is required
  • Computer literacy to include Microsoft Office products
  • Advanced technical skills for use of hardware and software with a high degree of accuracy
  • Excellent oral and written communication skills for representation of clear and concise results
  • Ability to manage significant workload, and to work efficiently under pressure, meeting established deadlines with minimal supervision
  • Strong time management skills
  • Must possess high degree of accuracy, efficiency, and dependability
  • Strong customer service skills to assist members and/or providers with understanding healthcare information and to coordinate issue resolution
  • Effective written and verbal communication and feedback
  • Effective organizational skills with ability to be flexible and prioritize tasks
  • Knowledge of educational assessments and learning strategies
  • Must be knowledgeable of and able to use standard, basic grammar, punctuation, and spelling

Skills

Time Management,Team Collaboration,UM Intake

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