Insight Global is seeking Care Review Processors to join the Utilization Management team to help with the influx of membership growth. To be successful in this role this individual must have experience in a customer service or administrative support role within the healthcare industry. This individual will be responsible for ensuring all information relating to patient care plans, treatment requests, diagnosis requests, eligibility, benefits, and authorizations are accurately recorded into the computer system for efficient care delivery. This is a fast-paced environment with an expectation of processing 30+ requests a day with a sharp eye to detail to ensure all information is accurately recorded and processed.
We are a company committed to creating inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity employer that believes everyone matters. Qualified candidates will receive consideration for employment opportunities without regard to race, religion, sex, age, marital status, national origin, sexual orientation, citizenship status, disability, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to
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- 1 year of experience in a customer service or administrative support role within the healthcare industry.
- Experience entering authorization requests and provider inquiries into the computer system.
- Experience reviewing authorization requests to ensure all necessary information is accurately recorded.
- Experience verifying status and/or updates to patient care plans, eligibility, and benefits.
- Must be able to attend each day of training, which is the first 30 days of the assignment.
Training Schedule 1: Monday - Friday
8:00 AM EST 4:30 PM EST
9:00 AM CST 5:30 PM CST
11:00 AM PST 7:30 PM PST
Training Schedule 2: Monday - Friday
6:30 AM EST 3:00 PM EST
7:30 AM CST 4:00 PM CST
9:30 AM PST 6:00 PM PST
- Must be able to work 1 of the 4 schedules below once training is completed.
Schedule A: 8 AM PST - 5 PM PST: Tue-Sat (8 Hr. Shift)
Schedule B: 9 AM PST - 5:30 PM PST: Tue-Sat (8 Hr. Shift)
Schedule C: 6 AM PST - 5 PM PST: Mon (Choose 1: Tue, Wed, Thu) & Fri/Sat (10 Hr. Shift)
Schedule D: 7 AM PST - 6 PM PST: Mon (Choose 1: Tue, Wed, Thu) & Fri/Sat (10 Hr. Shift)
Benefit packages for this role will start on the 31st day of employment and include medical, dental, and vision insurance, as well as HSA, FSA, and DCFSA account options, and 401k retirement account access with employer matching. Employees in this role are also entitled to paid sick leave and/or other paid time off as provided by applicable law.