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Utilization Review Assistant Jobs in Fennimore, WI

Utilization Review Assistant information

What is a utilization review assistant?

A Utilization Review Assistant supports the utilization review process by reviewing medical records, verifying insurance coverage, and ensuring that healthcare services meet necessary guidelines. They assist in gathering documentation, communicating with insurance providers, and coordinating with medical staff to facilitate approvals for treatments. Their role helps ensure that healthcare services are provided efficiently while maintaining compliance with insurance policies and regulations.

What does a utilization review assistant do?

A Utilization Review Assistant typically spends their day reviewing medical records, verifying patient information, and ensuring documentation meets insurance or regulatory requirements. They often work closely with nurses, physicians, case managers, and billing staff to collect necessary data and clarify documentation. The work is usually performed in an office within a hospital, clinic, or insurance company, where prioritizing tasks and maintaining confidentiality are key. This collaborative, detail-oriented environment provides a valuable introduction to healthcare administration and can open doors to broader roles in utilization management or case management.

What skills and qualifications are needed to be a utilization review assistant?

To thrive as a Utilization Review Assistant, you need attention to detail, basic understanding of medical terminology, strong organizational skills, and typically a high school diploma or equivalent. Familiarity with healthcare management software and electronic health records (EHR) systems, along with experience in data entry, is important for this role. Strong communication, problem-solving abilities, and a customer service-oriented attitude help you excel when interacting with clinical staff and patients. These skills are essential for ensuring accurate review processes, compliance with regulations, and effective coordination within healthcare teams.

How do I get into a utilization review assistant?

To become a utilization review assistant, candidates typically need a high school diploma or equivalent, with some roles preferring healthcare-related certifications or experience. Strong organizational skills, attention to detail, and familiarity with medical records and insurance processes are important; some positions may require knowledge of healthcare management software. Gaining relevant experience or certifications can improve job prospects in this field.

What cities near Fennimore, WI are hiring for Utilization Review Assistant jobs?

Cities near Fennimore, WI with the most Utilization Review Assistant job openings:

Accounting Supervisor (Hybrid)

Dodgeville, WI • On-site


Lands' End
Apparel and Accessories Stores • 5 - 10K employees

6.9

Company rating: 6.9 out of 10

Based on 33 frontline employees who took The Breakroom Quiz

22nd of 104 rated fashion retailers

Recommended by students

Paid breaks

Recommended by parents


Full-time

Posted 26 days ago


Job description

*This is a hybrid role with three weeks per month onsite (Mon. - Thurs.). The fourth week is fully remote.
The Accounting Supervisor is responsible for leading the daily operations of the Accounting department and ensuring the accuracy, integrity, and timeliness of financial transactions, reporting, and compliance activities. This position supervises accounting staff and serves as a key resource for month-end close activities, financial controls, process improvements, and cross-functional business support.
The Accounting Supervisor provides leadership and guidance to accounting team members while ensuring compliance with company policies, accounting standards, tax regulations, and internal control requirements. This role utilizes strong technical accounting expertise, analytical skills, and business acumen to drive operational excellence and support organizational objectives.
  • Financial Operations & Controls

    • Oversee daily accounting operations including Accounts Payable, Fixed Assets, General Ledger activities, account reconciliations, and other assigned accounting functions.
    • Review and approve journal entries, reconciliations, financial transactions, and supporting documentation to ensure accuracy and compliance.
    • Ensure accounting records are maintained in accordance with company policies, GAAP, and internal control requirements.
    • Monitor accounting workflows and controls to identify risks, improve efficiency, and ensure compliance with regulatory and audit requirements.
    • Support the timely and accurate processing of financial transactions while maintaining strong internal controls.

  • Financial Close & Reporting

    • Lead month-end, quarter-end, and year-end close activities for assigned accounting functions.
    • Review balance sheet reconciliations and supporting schedules to ensure completeness and accuracy.
    • Analyze financial results, identify variances, and recommend corrective actions when needed.
    • Support the preparation of financial reporting packages and management reporting.
    • Assist with internal and external audit requests and ensure timely completion of audit deliverables.

  • Tax, Compliance & Governance

    • Ensure compliance with applicable tax reporting requirements, including sales and use tax, 1099 reporting, and other regulatory obligations.
    • Support Sarbanes-Oxley (SOX) compliance efforts and maintain documentation of key accounting controls.
    • Review accounting activities to ensure adherence to company policies, procedures, and financial governance standards.
    • Partner with Tax, Treasury, Internal Audit, and Finance leadership on compliance-related initiatives and reporting requirements.

  • ERP Implementation & Financial System Leadership

    • Serve as the Finance subject matter expert supporting SAP implementation, testing, deployment, and stabilization activities.
    • Partner with Finance, IT, and implementation teams to evaluate, redesign, and standardize accounting processes.
    • Lead User Acceptance Testing (UAT), system validation, issue resolution, and process documentation efforts related to SAP and other financial systems.
    • Support data conversion, data validation, master data governance, and financial system controls to ensure accuracy and integrity during implementation activities.

  • Leadership & Team Management

    • Supervise, coach, mentor, and develop accounting team members.
    • Establish departmental priorities and ensure workload is distributed effectively.
    • Conduct performance management activities, including goal setting, performance reviews, coaching, and development planning.
    • Foster a culture of accountability, collaboration, continuous improvement, and customer service.
    • Serve as an escalation point for complex accounting and vendor-related issues.

Skills
  • Leads complex projects, initiatives, or programs with significant business impact.
  • Provides expert guidance to teams, leadership, and stakeholders.
  • Drives innovation, process improvement, and knowledge sharing.

Responsibilities
  • Lead and manage a team of employees.
  • Provide guidance, support, and mentorship to team members.
  • Foster a collaborative and positive work environment.
  • Set performance expectations and goals for team members.
  • Conduct regular performance evaluations and provide constructive feedback.
  • Identify and address performance issues through coaching and disciplinary actions when necessary.
  • Participate and recruitment and onboarding of new team members, as needed.
  • Identify training needs within the team and coordinate relevant development programs, encourage continuous learning and skill development among team members.
  • Serve as liaison between upper management and team, conveying organizational goals and expectations.
  • Address conflicts or issues within the team promptly and effectively.
  • Manage team resources, including workload distribution and project assignments.
  • Ensure optimal utilization of team member's skills and expertise.
  • Collaborate with upper management to establish team goals aligned with organizational objectives.
  • Contribute to the development and implementation of department strategies.

Education & Experience Requirements
  • High school diploma or equivalent required; associate or bachelor's degree in a relevant field preferred.
  • 3-5 years of relevant experience, including prior team leadership or coordination responsibilities.
  • Demonstrated ability to lead small teams and manage daily operations effectively.

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.


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