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15 days old

Customer Service Utilization Management Rep

Kelly Services
Plantation, FL 33388
**Kelly Services** has been providing outstanding employment opportunities to the most talented individuals in the marketplace. We are seeking a **Customer Service Utilization Management Representative** to work for a one of our top Healthcare Corporations located in **Plantation, FL!**



**Schedule:** Monday - Friday 8:30am to 5:00pm



**Pay Rate:** $16.50 per hour



The **Customer Service Utilization Management Representative** will be responsible for coordinating cases for precertification and prior authorization review.



**Job Duties:**




+ Managing incoming calls or incoming post services claims work.

+ Determines contract and benefit eligibility to provide authorization for inpatient admission, outpatient precertification, prior authorization, and post service requests.

+ Refers cases requiring clinical review to a Nurse reviewer.

+ Responsible for the identification and data entry of referral requests into the computer system in accordance with the plan certificate.

+ Responds to telephone and written inquiries from clients, providers and in-house departments.

+ Develops and maintains positive customer relations and coordinates with various functions within the company to ensure customer requests and questions are handled appropriately and in a timely manner.





**Job Requirements:**




+ Requires a High School diploma or equivalent.

+ 1 year of customer service or call-center experience.

+ Must have precertification and/or prior authorization experience.

+ Medical terminology training and experience in medical or insurance field.

+ Knowledge on Medicaid guidelines a plus.

+ Experience in Microsoft word, Excel, and Outlook

+ Able to work in a team and in a fast pace setting

+ Proficient analytical, written and oral communication skills.





**As a Kelly Services candidate you will have access to numerous perks, including:**




+ Exposure to a variety of career opportunities as a result of our expansive network of client companies

+ Career guides, information and tools to help you successfully position yourself throughout every stage of your career

+ Access to more than 3,000 online training courses through our Kelly Learning Center

+ Weekly pay and service bonus plans

+ Group-rate insurance options available immediately upon hire ( _Available for purchase and administered by a designated third-party vendor)_





**It's a great opportunity to get your foot in the door and gain valuable experience so apply today!!**



****Important information:** This position is recruited for by a National Kelly Recruiter, not your local Kelly branch. Please submit your resume to be considered for this position by pressing the **SUBMIT RESUME** button below.



\#MD2019




**Why Kelly** **** **?**



As a worker today, its up to you to take charge of your career and look for opportunities to learn, grow, and achieve your potential. Helping
you find whats next is what were all about. We know whats going on in the evolving world of workjust ask the nearly 500,000 people we employ
each year. Connecting with us means getting the support, guidance, and opportunities needed to take your career where you may have never imagined.




**About Kelly** ****



At Kelly, were always thinking about whats next and advising job seekers on new ways of working to reach their full potential. In fact, were a
leading advocate for temporary/nontraditional workstyles, because we believe they allow flexibility and tremendous growth opportunities that enable
a better way to work and live. Connecting great people with great companies is what we do best, and our employment opportunities span a wide variety
of workstyles, skill levels, and industries around the world.


Kelly is an equal opportunity employer committed to employing a diverse workforce, including, but not limited to, minorities, females,
individuals with disabilities, protected veterans, sexual orientation, gender identity. Equal Employment Opportunity is The Law.
Posted: 2019-10-28 Expires: 2019-11-28

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Customer Service Utilization Management Rep

Kelly Services
Plantation, FL 33388

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