Employer: Change Healthcare
Enter authorization requests based on information received in preparation for initial clinical review.
Authorizes referrals within authority guidelines and department standards for outpatient, inpatient, and ancillary services.
Responsible for answering all incoming calls to the Health Services Department. Makes outbound calls for follow-up inquiries or request for services.
Maintain knowledge of URAC utilization review standards
Competencies:
- Strong critical thinking and Analytical
- Strong verbal and written communication skills
- Knowledge of healthcare
- Medical terminology
- Excellent computer literacy and beginning to moderate skills level with Microsoft Word and Excel
- Strong interpersonal skills
- Able to work independently
MINIMUM JOB QUALIFICATIONS
Education / Training:
- High School Diploma or GED. Associate degree (A.A. or equivalent from two- year college or Medical/technical school preferred).
- Six months to one year of related experience preferred if no formal education beyond high school.
SPECIALIZED KNOWLEDGE / SKILLS
- Knowledge of CPT, ICD-10, and/or HCPC codes or coding experience
- Knowledge of precertification and/or medical review processes in a health care payor or third party environment.
WORKING CONDITIONS:
- Office Environment, office cubicle, indoors, heated/air-conditioned office
- No heavy lifting of anything greater than 10 pounds and no extensive standing. Uses personal computer, copy machine, and fax machine on a regular basis.
- Join our team today where we are creating a better coordinated, increasingly collaborative, and more efficient healthcare system!
COVID Mandate
As a federal contractor, Change Healthcare is adhering to the Executive Order which mandates vaccination. As such, we are requiring all U.S. new hires and employees to show proof of being fully vaccinated for COVID-19 or receive an approved accommodation by their date of hire, as a condition of employment.
As we continue to navigate the ever-changing COVID-19 pandemic, we remain committed to doing our part to ensure the health, safety, and well-being of our team members and our communities. Proof of vaccination or accommodations requests will be collected once an offer is accepted with Change Healthcare. All accommodation requests will be carefully considered but are not guaranteed to be approved.
Equal Opportunity/Affirmative Action Statement
Change Healthcare is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, genetic information, national origin, disability, or veteran status.
If you need a reasonable accommodation to assist with your application for employment, please contact us by sending an email to [email protected] with “Applicant requesting reasonable accommodation” as the subject. Resumes or CVs submitted to this email box will not be accepted.
California (US) Residents: By submitting an application to Change Healthcare for consideration of any employment opportunity, you acknowledge that you have read and understood Change Healthcare’s Privacy Notice to California Job Applicants Regarding the Collection of Personal Information.
Change Healthcare maintains a drug free workplace and conducts pre-employment drug-testing, where applicable, in accordance with federal, state and local laws.
Full time
R23158
About Us
Here at Change Healthcare, we’re creating a strong and more efficient healthcare system, and we want motivated and passionate people to help us continue to bring new and innovative ideas to life. It takes teams of talented individuals working together to accelerate our journey toward improved lives and healthier communities and really make an impact.
If you’re looking to maximize your potential and do what you love with a company that’s committed to supporting your future, then you belong at Change Healthcare.
Our core values to Pursue Purpose, Champion Innovation, Earn Trust, Be Agile, and Include All drive everything we do. Are you ready to join our cause and Make a Change?
Empower Your Future. Make a Difference.
At Change Healthcare, we understand that diversity and inclusion are at the very core of our culture. By celebrating diversity and fostering an inclusive environment we enrich our team member experience, broaden our thinking, and increase our ability to innovate and grow in an ever-changing healthcare industry.