Utilization review nurse Jobs in Irvine, CA

Johnson Service Group (JSG) is seeking a Utilization Review Intake Coordinator.

Monday-Friday - 8 : 00am-5 : 00pm

Remote - 4-6 months

Hourly $22.00-$24.00 per hour

QUALIFICATIONS

• High school education or equivalent and / or two years’ experience in health insurance environment.
• Experience in Utilization or Case Management Department interacting with clinical staff.
• Good understanding of health benefits claims processing, knowledge and understanding of current procedural terminology (CPT), healthcare common procedure coding system (HCPCS) and international classification of diseases (ICD) 9 / 10 codes preferred.
• Good understanding of generally accepted medical practices and knowledge of state and Employee Retirement Income Security Act (ERISA) mandated benefits, plan language and contracts preferred.
• Good knowledge of medical terminology, hospital, clinic or laboratory procedures preferred.
• Proficient in Microsoft Office (Word, Excel, Outlook) and electronic health record software.
• Detail oriented with strong analytical skills.
• Motivated self-starter with the ability to work independently, as well as, part of a team.
• Excellent verbal and written communication skills.

DUTIES AND RESPONSIBILITIES

Administrative Support

Operational Support

JSG offers medical, dental, vision, life insurance options, short-term disability, 401(k), weekly pay, and more. Johnson Service Group (JSG) is an Equal Opportunity Employer. JSG provides equal employment opportunities to all applicants and employees without regard to race, color, religion, sex, age, sexual orientation, gender identity, national origin, disability, marital status, protected veteran status, or any other characteristic protected by law. #D800