Department: Utilization Management - Corporate	----------	Shift: Shift 1	----------	Workdays/Nights: Days
Location: Gulf Coast Medical Center	----------	Work Type: PRN	----------	8:00:00 AM to 4:30:00 PM

Job Summary

Summary:

The Utilization Management Patient Account Representative provides various services supporting utilization management processes including insurance authorizations, denials prevention, denials tracking and notifications, staff scheduling, productivity reporting and 3rd party payer, patient communication and clerical services. Requires detailed, organized and flexible prioritization and service.

Job Requirements

Responsibilities:

Educational Requirements

Degree/Diploma Obtained	Program of Study	Required/ Preferred	and/or
High School Diploma or Equivalent		Required	and

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Experience Requirements

Minimum Years Required	Area of Experience	Required/ Preferred	and/or
2 Years		Required

Additional Requirements

Minimum of 2 years recent hospital, healthcare or 3rd party payer Utilization Management experience required. Knowledge of EPIC EMR and medical terminology preferred.

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State of Florida Licensure Requirements

Licenses	Required/ Preferred	and/or

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Certifications/Registration Requirements

Certificates/Registrations	Required/ Preferred	and/or

US:FL:Fort Myers