Utilization Review Intake Specialist

Accountabilities Handle incoming calls related to precertification requests and provide timely, professional support to callers and stakeholders.

Verify and maintain accurate patient, provider, and facility information within the applicable systems.

Enter service requests, notes, and other relevant information accurately into the CareMC system.

Provide administrative support to the utilization review and case management functions, including report preparation, correspondence, file handling, and form completion as needed.

Communicate clearly and professionally with internal and external stakeholders through telephone, written correspondence, and other communication channels.

Manage multiple priorities and assigned requests efficiently while meeting established deadlines and service expectations.

Maintain accuracy and attention to detail when handling sensitive healthcare information and documentation.

Support departmental objectives and complete additional responsibilities as assigned.

Requirements

High school diploma or equivalent is required; an Associate's degree or equivalent education is preferred.

Demonstrated ability to work effectively in a high-volume, fast-paced, team-oriented environment while managing multiple priorities.

Excellent written and verbal communication skills, with the ability to communicate diplomatically and professionally in potentially stressful situations.

Strong interpersonal, organizational, and time-management skills, with consistent attention to detail and the ability to meet deadlines.

Computer proficiency and technical aptitude, including the ability to work with Microsoft Office applications and Excel spreadsheets.

Ability to remain composed and professional under pressure while handling sensitive or time-critical requests.

Ability to work independently with minimal supervision while also contributing effectively within a collaborative team.

Strong customer-service orientation and commitment to accurate, timely, and professional communication.

Benefits

Hourly pay range of $16.74–$26.92 , with compensation determined by factors including location, experience, qualifications, skills, internal equity, and market conditions.

Fully remote work opportunity.

Comprehensive benefits package available to eligible full-time regular employees.

Medical coverage with pharmacy benefits, including a high-deductible health plan option.

Dental and vision insurance.

Long-term disability and life insurance.

Health Savings Account and Flexible Spending Account options.

Accident and critical illness insurance.

Prepaid legal insurance.

Parking and transit FSA options.

401(k) and Roth 401(k) retirement plans.

Paid time off.

Opportunities for professional growth and career advancement within a stable, supportive work environment.

How Jobgether works: We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team. We appreciate your interest and wish you the best!  Why Apply Through Jobgether? 

Data Privacy Notice: By submitting your application, you acknowledge that Jobgether will process your personal data to evaluate your candidacy and share relevant information with the hiring employer. This processing is based on legitimate interest and pre-contractual measures under applicable data protection laws (including GDPR). You may exercise your rights (access, rectification, erasure, objection) at any time.

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