Job Information
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’s 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.