Utilization Intake Review Coordinator

Job not on LinkedIn

🔥 1 hour ago

🍁 Vermont – Remote

🍁 Vermont – Remote

💵 $62k - $75k / year

⏰ Full Time

🟢 Junior

🚫👨‍🎓 No degree required

👻 Ghost score 2%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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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

• Manage the initial intake and data entry of clinical information required for utilization review processes • Verify patient information • Prepare and submit authorization requests to nursing staff or external UR vendor AHH • Support daily Utilization Review department operations and assist the Lead Utilization Review Intake Coordinator • Enter clinical and intake information into the appropriate platform and route it to the appropriate vendor • Maintain current knowledge of utilization review processes and timelines • Conduct outreach calls, collect data according to scripts, tools, and protocols, and meet productivity and performance expectations • Conduct calls courteously and in a customer-service-friendly manner • Refer cases to appropriate staff or clinical team members according to workflow • Process incoming and outgoing correspondence and faxes within required standards and timelines • Process urgent scanning and retrieve documents routed to Utilization Review • Communicate agreed-upon resolutions clearly and accurately • Adhere to standard operating procedures and maintain current knowledge of member benefits, rights, and responsibilities • Perform other related duties and projects within assigned timeframes • Interpret plan language and apply it to intake tasks • Adhere to company policies and procedures

🎯 Requirements

• High school diploma or equivalent required • Minimum of 1-2 years of experience in healthcare field • Fluent computer skills including MS Office (Word, Excel, and Outlook) and Internet applications • Strong reading comprehension • Self-motivated and self-directed; operates without constant guidance • Excellent communication and problem-solving abilities • Must be eligible to work in the United States; employer participates in E-Verify

🏖️ 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 • Fully Paid half day Summer Fridays • Generous paid vacation and sick time • Annual Paid Volunteer Day • Annual Tuition Reimbursement • Annual Health and Wellness Reimbursement • Fun company events