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Utilization Review Assistant Jobs in Forney, TX (NOW HIRING)

Maclean Ltda

Service Coordinator

Grand Prairie, TX · On-site

$19 - $24/hr

Cold call old customers to do service work and get out old files for review. * Assist in keeping ... Computer navigation and utilization skills with excellent Microsoft office proficiency * Ability to ...

DNOW L.P.

Service Coordinator

Grand Prairie, TX · On-site

$18.75 - $23.75/hr

Cold call old customers to do service work and get out old files for review. * Assist in keeping ... Computer navigation and utilization skills with excellent Microsoft office proficiency * Ability to ...

DistributionNOW

Service Coordinator

Grand Prairie, TX · On-site

$19 - $24/hr

Cold call old customers to do service work and get out old files for review. * Assist in keeping ... Computer navigation and utilization skills with excellent Microsoft office proficiency * Ability to ...

Elevance Health

Med Mgmt Nurse

Grand Prairie, TX · On-site

May assist leadership and other stakeholders on process improvement initiatives. * May help to ... Utilization Review experience is preferred. * Knowledge of the medical management processes and the ...

Elevance Health

Med Mgmt Nurse

Grand Prairie, TX · On-site

May assist leadership and other stakeholders on process improvement initiatives. * May help to ... Utilization Review experience is preferred. * Knowledge of the medical management processes and the ...

Zelis

Senior Solution Advisor, Payment Integrity

Plano, TX

$130K - $131K/yr

... Review and Claims Editing) and its design, configuration, implementation, and utilization. Partner ... Assist with organization and prioritization of sales pipelines. Provide expertise on Payment ...

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All JobsUtilization Review JobsUtilization Review Assistant JobsUtilization Review Assistant Jobs in Forney, TX

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 are the most commonly searched types of Utilization Review jobs in Forney, TX?

The most popular types of Utilization Review jobs in Forney, TX are:

What are popular job titles related to Utilization Review Assistant jobs in Forney, TX?

For Utilization Review Assistant jobs in Forney, TX, the most frequently searched job titles are:

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The top searched job categories for Utilization Review Assistant jobs in Forney, TX are:

What cities near Forney, TX are hiring for Utilization Review Assistant jobs?

Cities near Forney, TX with the most Utilization Review Assistant job openings:

Utilization Review Assistant jobs near you

Service Coordinator

Maclean Ltda

Grand Prairie, TX • On-site

$19 - $24/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 13 days ago

Job description

At DNOW, we believe our associates are the best in the business. We value and reward hardworking, creative, and dedicated employees that desire to be part of a team committed to outstanding customer service.
START YOUR CAREER NOW.
The Service Coordinator will be responsible for providing service estimates and quotations to potential service customers. Including parts pricing, labor, travel, per diem, shop supplies, etc.
JOB RESPONSIBILITIES:

  • Coordinate all service calls.
  • Opens, post, and close all SRO's (Service Repair Orders).
  • Ensure service technicians are at least 80% - 85% billable.
  • Submit warranty claims with follow up to ensure factory pays claims.
  • Handles all shipping and receiving duties.
  • Answer all incoming service department calls first with as little consultation with mechanics as possible.
  • Cold call old customers to do service work and get out old files for review.
  • Assist in keeping ALL shop expenses to minimum.
  • Maintains technician log hours of billable and non-billable to produce efficiencies and see where expenses can be cut.
  • Other duties, as assigned.
JOB REQUIREMENTS:
  • High School diploma and/or equivalent in work experience
  • Excellent interpersonal skills, proficient in oral and written communications
  • Assembly experience preferred but not required
  • Basic reading skills. Must be able to follow directions
  • Customer service oriented
  • Computer navigation and utilization skills with excellent Microsoft office proficiency
  • Ability to perform work accurately and thoroughly
  • Ability to use thinking and reasoning to solve a problem and to think in such a way as to produce a new concept or idea
  • High attention to detail, time management, and self-motivation skills
BENEFITS:
  • Competitive Salary + bonus
  • 401(k)/ Retirement savings
  • Comprehensive Benefits (medical, dental, vision, life and disability coverage)
  • Career growth
  • Paid vacation/holidays

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