Remote Care Review Processor

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Job Description

Insight Global is seeking Care Review Processors to join the Utilization Management team to help with the influx of membership growth. To be successful in this role this individual must have experience in a customer service or administrative support role within the healthcare industry. This individual will be responsible for ensuring all information relating to patient care plans, treatment requests, diagnosis requests, eligibility, benefits, and authorizations are accurately recorded into the computer system for efficient care delivery. This is a fast-paced environment with an expectation of processing 30+ requests a day with a sharp eye to detail to ensure all information is accurately recorded and processed.

We are a company committed to creating inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity employer that believes everyone matters. Qualified candidates will receive consideration for employment opportunities without regard to race, religion, sex, age, marital status, national origin, sexual orientation, citizenship status, disability, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to Human Resources Request Form (https://airtable.com/app21VjYyxLDIX0ez/shrOg4IQS1J6dRiMo) . The EEOC "Know Your Rights" Poster is available here (https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12ScreenRdr.pdf) .

To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/ .

Skills And Requirements

• 1 year of experience in a customer service or administrative support role within the healthcare industry.
• Experience entering authorization requests and provider inquiries into the computer system.
• Experience reviewing authorization requests to ensure all necessary information is accurately recorded.
• Experience verifying status and/or updates to patient care plans, eligibility, and benefits.
• Must have a High School Diploma or GED.
• Must be able to attend each day of training, which is the first 30 days of the assignment.
  
  

   Training Schedule 1: Monday - Friday

    8:00 AM EST 4:30 PM EST

    9:00 AM CST 5:30 PM CST

    11:00 AM PST 7:30 PM PST

   Training Schedule 2: Monday - Friday

    6:30 AM EST 3:00 PM EST

    7:30 AM CST 4:00 PM CST

    9:30 AM PST 6:00 PM PST

• Must be able to work 1 of the 4 schedules below once training is completed.
  
  

   Schedule A: 8 AM PST - 5 PM PST: Tue-Sat (8 Hr. Shift)

   Schedule B: 9 AM PST - 5:30 PM PST: Tue-Sat (8 Hr. Shift)

   Schedule C: 6 AM PST - 5 PM PST: Mon (Choose 1: Tue, Wed, Thu) & Fri/Sat (10 Hr. Shift)

Schedule D: 7 AM PST - 6 PM PST: Mon (Choose 1: Tue, Wed, Thu) & Fri/Sat (10 Hr. Shift) null

We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal employment opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment without regard to race, color, ethnicity, religion,sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military oruniformed service member status, or any other status or characteristic protected by applicable laws, regulations, andordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or the recruiting process, please send a request to [email protected].