Utilization Management Administrative Support

Join us for an exciting career with the leading provider of supplemental benefits!

Our Promise
Through skill-building, leadership development and philanthropic opportunities, we provide opportunities to build communities and grow your career, surrounded by diverse colleagues with high ethical standards.

As Utilization Management Administrative Support, you will assist in data entry, and communication needs required by Utilization Management involving correspondence for enrollees and providers. You will ensure that entry and manual creation of these ad hoc notifications are completed timely and meets federal, state, NCQA, or contractual requirements.

Essential Job Functions:

• Review and key in new and corrected dental and vision preservice requests submitted by providers into Avesis’ processing system. Check for accuracy and completeness; if insufficient draft notifications to providers for correction and resubmission.
• Perform outreach to providers for correction and resubmission if a request is submitted with insufficient information
• Create ad-hoc manual letter requests utilized to communicate with enrollee and/or provider. These communications are time sensitive and must meet regulatory, accreditation or contractual requirements.
• Handle clerical support for the department, including but not limited to receipt and response of incoming and outgoing fax, email transmissions both internal and external, draft/upkeep meeting agendas, meeting minutes.
• Pull and report daily logs of processed preservice requests for special facility setting review and forward to external contacts for authorization
• Support UM leadership and Avesis’ communication team in the review and routine maintenance of letter template library for accuracy. 
• Light travel and delivery to local post office to ensure same day mailing for urgent mailings.
• Other duties as assigned 

Requirements: 

• Previous Administrative Support experience. 
• High level of accuracy and attention to detail in all aspects of work. 
• Strong interpersonal skills, with the ability to work well both independently and as part of a team. 
• Flexibility and adaptability to handle changing priorities and tasks. 
• Ability to handle sensitive information with discretion and maintain confidentiality 
• Proficient with Microsoft applications, SharePoint technology, Teams, and Outlook. 

FLSA Status: Hourly/Non-Exempt

National Hourly Rate Range: $14.35 - $20.75 per hour.

How To Stay Safe:

Avesis is aware of fraudulent activity by individuals falsely representing themselves as Avesis recruiters. In some instances, these individuals may even contact applicants with a job offer letter, ask applicants to make purchases (i.e., a laptop or gift cards) from a designated vendor, have applicants fill out W-2 forms, or ask that applicants ship or send packages of goods to the company.

Avesis would never make such requests to applicants at any time throughout our job application process. We also would never ask applicants for personal information, such as passport numbers, bank account numbers, or social security numbers, during our process. Our recruitment process takes place by phone and via trusted business communication platform (i.e., Zoom, Webex, Microsoft Teams, etc.). Any emails from Avesis recruiters will come from a verified email address ending in @Avesis.com.

We urge all applicants to exercise caution. If something feels off about your interactions, we encourage you to suspend or cease communications. If you are unsure of the legitimacy of a communication you have received, please reach out to ITsupport@Avesis.com.

To learn more about protecting yourself from fraudulent activity, please refer to this article link (https://consumer.ftc.gov/articles/how-avoid-scam). If you believe you were a victim of fraudulent activity, please contact your local authorities or file a complaint (Link: https://reportfraud.ftc.gov/#/) with the Federal Trade Commission. Avesis is not responsible for any claims, losses, damages, or expenses resulting from unaffiliated individuals of the company or their fraudulent activity.

We Offer

• Meaningful and challenging work opportunities to accelerate innovation in a secure and compliant way.
• Competitive compensation package.
• Excellent medical, dental, supplemental health, life and vision coverage for you and your dependents with no wait period.
• Life and disability insurance.
• A great 401(k) with company match.
• Tuition assistance, paid parental leave and backup family care.
• Dynamic, modern work environments that promote collaboration and creativity to develop and empower talent.
• Flexible time off, dress code, and work location policies to balance your work and life in the ways that suit you best.
• Employee Resource Groups that advocate for inclusion and diversity in all that we do.
• Social responsibility in all aspects of our work. We volunteer within our local communities, create educational alliances with colleges, drive a variety of initiatives in sustainability.

Equal Employment Opportunity

At Avēsis, We See You.  We celebrate differences and are building a culture of inclusivity and diversity. We are proud to be an Equal Employment Opportunity employer that considers all qualified applicants and does not discriminate against any person based on ancestry, age, citizenship, color, creed, disability, familial status, gender, gender expression, gender identity, marital status, military or veteran status, national origin, race, religion, sexual orientation, or any other characteristic.  At Avēsis, we believe that, to operate at the peak of excellence, our workforce needs to represent a rich mixture of diverse people, all focused on providing a world-class experience for our clients.  We focus on recruiting, training and retaining those individuals that share similar goals.  Come Dare to be Different at Avēsis, where We See You!

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