Utilization Review Assistant - Full-Time

Role Overview: The Utilization Review Assistant supports the UM Nursing department by performing non-clinical clerical and administrative tasks to ensure efficient workflow. Key Responsibilities Handle multi-line phone systems, answer inquiries, and manage voicemails.Maintain electronic files, process faxes, correspondence, and documents.Assist with data entry, prepare reports, and support authorization processes with private and governmental payers.Support EPIC workflow by documenting authorization attempts, updates, and denials, escalating issues promptly.Monitor compliance with Medicare/Medicaid regulations and handle confidential information professionally.Take meeting minutes, prepare invoices, and communicate effectively with team members.Participate in professional development and ensure documentation accuracy for Medicaid pre-certifications. Qualifications & Skills High School diploma required; certifications needed upon hire.Minimum of 3 years of customer service and clerical experience, preferably in healthcare.Strong computer skills, especially with Microsoft Office Suite.Excellent time management, multi-tasking, attention to detail, and problem-solving abilities.Effective verbal and written communication skills and ability to work independently.Ability to interact professionally across departments and build trust within the team. Additional Information: The role involves supporting authorization workflows, documentation, and compliance tasks, with training available to assist in closing EPIC cases requiring non-clinical interventions.