Utilization Management Rep - Full-time / Part-time

Kelly Services® has been providing outstanding employment opportunities to the most talented individuals in the marketplace. We are proud to offer a contract opportunity to work as a Utilization Management Rep position in a Fortune 500® corporation located in Albany, NY!  By working with Kelly in this role, you would be eligible for: - A competitive hourly pay rate with weekly checks - Online continuing education via the Kelly Learning Center - Several employee discounts - And more!  Pay Rate: $17.50 per hour Shift:  10:30am-7:00pm.  Training 8:30am-5:00pm (no time off allowed during first 4 months on assignment) Important information: This position is recruited for by a remote Kelly office, not your local Kelly branch. To be considered for this position, you must use the “submit now” button below. MAJOR JOB DUTIES AND RESPONSIBILITIES: Managing incoming calls or incoming post services claims work. Determines contract and benefit eligibility; provides authorization for inpatient admission, outpatient precertification, prior authorization, and post service requests. Refers cases requiring clinical review to a Nurse reviewer. Responsible for the identification and data entry of referral requests into the UM system in accordance with the plan certificate. Responds to telephone and written inquiries from clients, providers and in-house departments. Conducts clinical screening process. Authorizes initial set of sessions to provider. Checks benefits for facility based treatment. Develops and maintains positive customer relations and coordinates with various functions within the company to ensure customer requests and questions are handled appropriately and in a timely manner. SKILLS: Must be comfortable taking 80 calls per day. Excellent customer-service and telephone skills required. Excellent oral and written communications skills required.  Be polite, accurate, and efficient. Must be able to understand the critical content of the calls and type basic information into a case shell.   Strong computer skills with ability to use multiple systems at once. Good attendance and business ethic. As a Kelly Services candidate you will have access to numerous perks, including: Exposure to a variety of career opportunities as a result of our expansive network of client companies  Career guides, information and tools to help you successfully position yourself throughout every stage of your career Access to more than 3,000 online training courses through our Kelly Learning Center Weekly pay and service bonus plans Group- rate insurance options available immediately upon hire*   Apply Today! *Available for purchase and administered by a designated third-party vendor Why Kelly®?At Kelly Services®, we work with the best. Our clients include 95 of the Fortune 100™ companies, and more than 70,000 hiring managers rely on Kelly annually to access the best talent to drive their business forward. If you only make one career connection today, connect with Kelly. About Kelly Services® As a workforce advocate for over 70 years, we are proud to directly employ nearly 500,000 people around the world and have a role in connecting thousands more with work through our global network of talent suppliers and partners. Revenue in 2016 was $5.3 billion. Visit kellyservices.com and connect with us on Facebook, LinkedIn and Twitter. Kelly Services is an equal opportunity employer including, but not limited to, Minorities, Females, Individuals with Disabilities, Protected Veterans, Sexual Orientation, Gender Identity and is committed to employing a diverse workforce. Equal Employment Opportunity is The Law.]]