Seeking candidates for Utilization Review Technician career opportunity with our healthcare client in Santa Ana, CA.

Duties & Requirements:

Ability to establish and maintain effective working relationships across the Health System

Ability to interpret and understand various medical insurance plans and make accurate determinations regarding coverage

Follow up with insurance companies regarding the status of outstanding claims and necessary steps for resolution.

Answer and review pertinent insurance correspondence to ensure complete and accurate reimbursement for medical claims.

Responsible for working payer correspondence, edits and aged account receivable, and identifying and correcting billing errors.

Pull daily reports utilizing Microsoft Excel and providing correct correspondence to payer

Research payer rules and regulations to maintain current payer knowledge.

Comply with HIPAA and other compliance requirements to protect patient confidentiality.

Manage data in internal and external databases with accuracy.

Provide high-level administrative support and assistance to the Director and/or other assigned leadership staff.

Perform clerical and administrative tasks including drafting letters, memos, invoices, reports, and other documents for senior staff.

Prepare patient charts for medical audits.

Excellent verbal and written communication skills.

Excellent organizational skills and attention to detail.

Excellent time management skills with a proven ability to meet deadlines.

Ability to function well in a high-paced and at times stressful environment.

Extensive knowledge of office administration, clerical procedures, and recordkeeping systems.

Able to type minimum of 50 words per minute.

Extremely proficient with Microsoft Office Suite or similar software with the ability to learn new or updated software.

Compensation: $30 - $40 an hour