About this role
This role will require candidates to cover weekends as well. So must be ready to work around 4 hours per each weekend Sat & Sunday. However, the total number of hours will be 40 hours / week.
Must have at least 1 year of Medical Management Experience (MMC)
Must have off-entry and processing experience.
Must have 3+ years of previous Utilization Management experience.
Must have 2+ years experience in CPT and diagnosis codes.
Will be handling and processing Utilization and authorization request via FAX only.
Experience with guiding care and Facets if a heavy nice to have.