Utilization Intake Review Coordinator

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🔥 0 minutes ago

🤠 Texas – Remote

🤠 Texas – Remote

💵 $21 - $22 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

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Cobalt Benefits Group, LLC (DBA: Blue Benefit Administrators, CBA Blue & EBPA)

WebsiteLinkedInAll Job Openings

51 - 200 employees

💼 Consulting

⚖️ Legal

🛡️ Insurance

Consulting • Legal • Insurance

Cobalt Benefits Group, LLC (DBA: Blue Benefit Administrators, CBA Blue & EBPA) is a full service Third Party Administrator (TPA) that specializes in the customization, marketing, and operation of self-funded employee benefit plans. With over 30 years of experience and a team of over 195 employees, CBG provides a wide array of products and services including self-funded medical and dental plans, Flexible Spending Accounts, Health Reimbursement Arrangements, and COBRA management. CBG aims to assist employers in building custom benefit plans while managing costs and ensuring compliance with regulations.

📋 Description

• Perform data entry of authorization information into a web-based system from telephone calls, voicemail messages, and emails • Gather and organize clinical information for review • Communicate authorization request status to providers according to policy and procedure • Write coverage determination letters • Work with computers and electronic medical records daily • Assist the Utilization team with administrative responsibilities across stages of standard medical review practices • Perform other duties as assigned

🎯 Requirements

• High School Diploma or equivalent • Proficiency in Windows, Word, Excel, Outlook, clinical platforms, and internet searches • Knowledge of ICD-10 codes, CPT codes, and medical terminology is a bonus • Detail oriented, self-sufficient, and decisive • Excellent organizational and communication skills • Ability to be flexible and work in a fast-paced office environment • Ability to prioritize a high volume of work • Medical office or hospital experience preferred but not required • Participation in E-Verify to confirm employment eligibility of new hires

🏖️ Benefits

• Fantastic medical, dental, and vision insurance • Twice annual employer HSA contributions, covering 50% of the HDHP plan’s annual deductible • Company provided Basic Life and AD&D • Company paid Short-Term and Long-Term Disability • Flexible Spending Accounts • 401(k) Retirement Plan with up to a 6% employer-match • 100% fully vested after 3 years • 10+ paid holidays • Generous paid vacation and sick time • Annual Volunteer Paid Day • Annual Tuition Reimbursement • Annual Health and Wellness Reimbursement • Company events