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Healthcare Authorization Specialist
3 months ago
Insight Global is seeking a dedicated Utilization Management Coordinator to join a prominent health services organization. In this role, you will be tasked with managing the evaluation of medical treatment requests, ensuring compliance with internal policies, regulatory standards, and client agreements.
Your responsibilities will include:
- Assessing internal processes and policies to confirm that submitted requests fall within the appropriate review parameters.
- Handling incoming requests through various channels for medical treatment approvals, referrals, and reconsiderations.
- Collaborating with healthcare providers to gather any necessary information to facilitate the authorization process.
This position plays a crucial role in maintaining the integrity of the authorization process and ensuring that all necessary documentation is complete and accurate.