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Boise, ID

9390 West Overland Road, Boise, Idaho 83709

Caldwell, ID

5720 East Cleveland Boulevard, Suite 107, Caldwell, Idaho 83607

Fruitland, ID

211 North Whitley, Suite 2, Fruitland, Idaho 83619

Job Details

Utilization Management Representative June 9, 2025

G2090

Located in Meridian, ID

Pay: $23-28/hr.

Job Full Description

Express Employment is seeking a utilization management representative for a health insurance company.  Job duties include:

  • Review member eligibility and benefit structure for requested referrals or prior authorizations
  • Respond to incoming calls from internal and external customers via multiple types of media
  • Review documentation and request additional information needed to complete a review of requested services
  • Initialize, route, and complete request for services
  • Inform members and providers of determination
  • Enter and maintain documentation per policy and procedures
  • Complete correspondence according to established workflows

Skills:

  • 2+ years of relevant experience
  • Knowledge of medical terminology
  • Familiarity with ICD10 and CPT coding
  • Great verbal and written communication skills
  • Problem solving skills

Other details:

  • Pay rate is $23-28/hr. DOE
  • Schedule is Monday-Friday, 8am-5pm
  • Role is expected to be 6 months to 1 year in length
  • Position is onsite

If you are interested in and qualified for this opportunity, please call or text “UMR” to (208) 343-7552 and/or fill out the online application.  Express Employment is an Equal Opportunity Employer offering benefits from the first day of employment, including medical, vision, dental, life insurance, 401(k), referral bonuses, and direct deposit.

Boise, ID
2321
9390 West Overland Road
Boise, ID 83709

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