Utilization Management Team Lead

WHY JOIN FCS

At Florida Cancer Specialists & Research Institute, we believe our people are our strength and we invest in them. In addition to having a positive impact on the people and communities we serve, associates benefit from significant professional opportunities, career advancement, training and competitive wages. Offering competitive salaries and comprehensive benefits packages to include tuition reimbursement, 401-K match, pet and legal insurance.

Responsibilities

• Monitor the daily work of Utilization Management (UM) Coordinators to ensure accuracy in documentation and compliance with the UM policies and procedures.
• Create, monitor and maintain various reports for the Utilization Management Coordinators and Supervisors.
• Review, research and resolve incoming inquiries from various entities, updating any information required in the appropriate system.
• Act as point of contact for questions, assistance and training to the UM team.
• Complete the training progress report with each trainee.

Qualifications

• A high school diploma or GED required.
• Three (3) years of experience in the healthcare field, preferably in a business office setting.
• At least two (2) years prior experience in a Utilization Management Coordinator position is preferred.
• Experience obtaining authorizations, billing, and collections in a medical office or hospital setting is required.
• Must be experienced in Medical terminology and have a strong attention to detail.
• High degree of accuracy in dealing with authorization issues is required.
• Strong communication, multi-tasking and interpersonal skills needed to deal with a wide variety of personalities.

Safeguarding

Safeguarding our patients and each other is an important part of how we deliver the best care possible to the communities we serve. All offers of employment at Florida Cancer Specialists & Research Institute are contingent upon clear results of a thorough background screening. Additionally, as a condition of employment, FCS requires all new hires to receive various vaccinations, including the influenza vaccine, barring an approved exemption. In addition, FCS is a drug-free workplace, and all new hires will be subject to drug/ nicotine testing. Medical Marijuana cards are not recognized.

EEOC

FCS is an EEO/Affirmative Action Employer and does not discriminate on the basis of age, race, color, religion, gender, sexual orientation, gender identity, gender expression, national origin, protected veteran status, disability or any other legally protected status.