Utilization Review Intake Specialist

This is a Fully Remote Job

About Our Client:

The organization operates in the risk management solutions industry, focusing on workers’ compensation, auto, health, and disability management. Founded in 1987 and publicly traded since 1991, the organization addresses challenges in these sectors by providing integrated and innovative solutions supported by continuous investment in human capital and technology. The team comprises over 4,000 employees across the United States, committed to values such as Accountability, Commitment, Excellence, Integrity, and Teamwork.

About the Opportunity:

The UTILIZATION REVIEW INTAKE SPECIALIST supports the Utilization Review and Case Management departments by managing intake tasks that ensure accurate processing of precertification requests and related communications. The role contributes by maintaining up-to-date patient and provider information and facilitating timely, professional interactions with stakeholders, which is essential for efficient case management and service delivery.

Responsibilities:

• Take calls related to precertification requests
• Verify accuracy of patient, provider, and facility information in the system
• Enter notes and service requests into the CareMC system
• Communicate with stakeholders promptly and professionally
• Perform additional duties as assigned

Requirements:

• High school diploma or equivalent required
• Associate degree or equivalent preferred
• Ability to manage multiple priorities in a fast-paced team environment
• Excellent written and verbal communication skills
• Competence with Microsoft Office, including Excel
• Strong interpersonal, time management, and organizational skills
• Ability to remain composed and communicate diplomatically under stress
• Capability to work independently and collaboratively

Pay Range and Compensation Package:

• Pay range: $16.74 to $26.92 per hour
• Compensation varies by location, skills, experience, and qualifications

Benefits & Perks:

• Medical (HDHP) with Pharmacy
• Dental insurance
• Vision insurance
• Long Term Disability
• Health Savings Account
• Flexible Spending Account options
• Life, Accident, and Critical Illness Insurance
• Pre-paid Legal Insurance
• Parking and Transit FSA accounts
• 401(k) and ROTH 401(k)
• Paid time off

Equal Opportunity Statement: Our client is an equal opportunity employer. They celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, or national origin.

Note:

TalentHop is a recruitment partner of this role. Please note that all employment decisions, including candidate assessment, interviews, hiring, compensation, and employment terms, are made exclusively by the hiring employer.