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Wellforce Utilization Review Authorization Specialist in Lawrence, Massachusetts

The UR Authorization Specialist assists with the coordination of managed care patients, follows procedures to obtain needed authorizations, documents necessary authorization/utilization information in patient electronic medical record, tracks appropriate utilization of services and has knowledge of reimbursement guidelines.

Required Education and Experience

  • Knowledge of insurance authorization/utilization process required.

  • Knowledge of in networks and out-of-network-payers, Medicaid, Medicare, and commercial plans preferred.

  • Coordination of benefits knowledge preferred.

  • Exceptional documentation, communication and organizational skills.

  • Associate‚Äôs Degree Preferred.

  • Computer literacy required.

  • Good customer Service Skills.

  • Ability to read/write and communicate in English.

  • Excellent interpersonal skills.

  • Ability to function well in very busy situations.

  • Responsible and reliable.

  • Good organization skills.