Discover. Achieve. Succeed. #BeHere

Location: US:WI:MILWAUKEE at our FROEDTERT HOSPITAL facility.

This job is REMOTE.

FTE: 1.000000

Standard Hours: 40.00

Shift: Shift 1

Shift Details: 0800-1630 Holidays: No Weekends: No

Job Summary:

The Utilization Management Specialist provides clerical support to the Utilization Review and Preauthorization teams to assist with patient transitions. Provides payor documentation through the provision of information to payors, documentation of authorizations and payor clinical information requests in the electronic health record.

EXPERIENCE DESCRIPTION:

A minimum of three (3) years of related experience is required. Experience working in a hospital billing office and/or admitting, health insurance and managed care program, Medicare and managed care denial management experience, preferred.

EDUCATION DESCRIPTION:

High School diploma or equivalent is required. Billing and clinical coding or medical terminology coursework, preferred. Associate or Bachelor's degree in healthcare related field, preferred.

SPECIAL SKILLS DESCRIPTION:

Analytical skills necessary to obtain information from patients and families, external customers, and ability to interact professionally with internal and external customers including hospital personnel and peers. Good organizational skills. Excellent communication skills. Effective application of Microsoft Office products, document imaging.

Compensation, Benefits & Perks at Froedtert Health

Pay is expected to be between: (expressed as hourly) $21.16 - $28.78. Final compensation is based on experience and will be discussed with you by the recruiter during the interview process.

Froedtert Health Offers a variety of perks & benefits to staff, depending on your role you may be eligible for the following:

• Paid time off
• Growth opportunity- Career Pathways & Career Tuition Assistance, CEU opportunities
• Academic Partnership with the Medical College of Wisconsin
• Referral bonuses
• Retirement plan - 403b
• Medical, Dental, Vision, Life Insurance, Short & Long Term Disability, Free Workplace Clinics
• Employee Assistance Programs, Adoption Assistance, Healthy Contributions, Care@Work, Moving Assistance, Discounts on gym memberships, travel and other work life benefits available

The Froedtert & the Medical College of Wisconsin regional health network is a partnership between Froedtert Health and the Medical College of Wisconsin supporting a shared mission of patient care, innovation, medical research and education. Our health network operates eastern Wisconsin's only academic medical center and adult Level I Trauma center engaged in thousands of clinical trials and studies. The Froedtert & MCW health network, which includes ten hospitals, nearly 2,000 physicians and more than 45 health centers and clinics draw patients from throughout the Midwest and the nation.

We are proud to be an Equal Opportunity Employer who values and maintains an environment that attracts, recruits, engages and retains a diverse workforce. We welcome protected veterans to share their priority consideration status with us at 262-439-1961. We maintain a drug-free workplace and perform pre-employment substance abuse testing. During your application and interview process, if you have a need that requires an accommodation, please contact us at 262-439-1961. We will attempt to fulfill all reasonable accommodation requests.