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Clinical Auditor / Utilization Reviewer
Saint Joseph, MO
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The Utilization Review Assistant is responsible for the administrative components of Utilization Management that primarily focuses on supporting the medical review process. Responsible for communication of required healthcare documents to patients and/or representatives. Adhere to regulatory and compliance standards Understanding benefits including Medicaid and Medicare Work closely with utilization review staff, care managers and social workers to assist with any administrative responsibilities or needs. Documentation entry Phone and Voicemail retrieval Mail distribution within the department Worklist management Other duties assigned Education H.S. Diploma
or GED
Required Work Experience Experience in healthcare, managed care, hospital, or clinical setting, or other comparable work experience.
Preferred Licenses and Certifications Upon Hire Travel Requirements Travel to off-site locations may be required.