Medical Management Specialist

It feels good to make a difference. To be a part of a company that improves people's lives every day. That's pride from the inside out. We're Regence, and we're striving to transform health care with everything we do.

As the region's largest not-for-profit health insurance plan, Regence has more than 6,500 employees in Washington, Oregon, Idaho, and Utah. We're innovators. Advocates for change. And we're looking for passionate individuals who will forge a path with us.

Bring your knowledge of research and analysis to the following role:

• Receive, research, and assist in written and telephonic responses to inquiries related to pre-authorization and case management requests for service.
• Request appropriate medical records and utilize knowledge and experience to analyze contractual or administrative issues related to requests.
• Advise and refer to appropriate clinical personnel when necessary.

Combine your healthcare experience with the following skills:

• Minimum of 3 years experience in health care setting, medical field, medical insurance company and/or equivalent experience/education.
• Demonstrated excellent computer skills and proficiency working with windows based software.
• 40 WPM typing, 10-key ability
• Interpret policies and procedures and communicate effectively.
• Make decisions and exercise good judgment in a complex and rapidly changing environment.
• Adapt to a fast-paced environment, learn and retain new or evolving information and procedures.
• Work under stress and pressure and respond to inquiries with tact, diplomacy and patience.
• Work in a team environment.
• Exercise discretion on sensitive and confidential matters.
• Knowledge of anatomy, medical terminology, ICD and CPT coding.
• Knowledge of contract and understanding of contract benefits.
• Strong oral and written communication, interpersonal skills.
• Strong customer service skills, including courteous telephone etiquette.
• Ability to understand, follow directions, and perform complex and detailed work with accuracy and within established time frames.
• Possess analytical, mature judgment, and capable of working independently.

Hard work and dedication is rewarded at Regence:
We offer a competitive salary and a generous benefits package.

For consideration, please visit our Web site at www.regence.com/careers and Apply Online to Job #17894.

We are an equal opportunity employer dedicated to workforce diversity and a drug and smoke-free workplace. Drug Screening and Background Check is required.

www.regence.com/careers

Together we can take charge.