Berkshire Hathaway Jobs in Omaha – Utilization Review Assistant

Job Description:

The Utilization Review Assistant ensures the timely and accurate collection of documents for independent medical review.

Job Responsibilities:

• Examine requests for legibility and take appropriate action to ensure the accuracy of documentation.
• Foster a positive and close working relationship with other Company staff, including medical management, special investigations, legal, nurse case management, the call center, client services, marketing, and underwriting.
• Ensure work is performed in accordance to Company standards, training, and supervisory direction to ensure compliance with corporate and regulatory standards.
• Accurately enter data timely to track independent medical requests and final determinations.
• Triage and manage intake coordination of independent medical requests.
• Customer Service–Responds in a timely manner; Meets commitments.
• Provide general office or administrative support throughout the department.
• Proactively communicate any problems or issues that may adversely impact a client or the company directly to the supervisor.

Job Requirements:

• Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals
• Ability to compute rate, ratio, and percent.
• Ability to read, comprehend and interpret simple instructions, procedural manuals, claim notes, and claim data fields
• Ability to write routine reports and correspondence
• Ability to effectively present information in one-and-one and small group situations to employees of the organization.
• Associate’s degree from an accredited college or technical school; or at least six months of relevant experience and training; or an equivalent combination of education and experience.

Job Details:

Company: Berkshire Hathaway

Vacancy Type: Full Time

Job Location: Omaha, NE, US

Application Deadline: N/A

Apply Here

vacanciesforyou.net