Utilization Review Technician jobs in Round Rock, TX

Utilization Review Technician conducts utilization reviews to determine if patients are receiving care appropriate to illness or condition. Monitors patient charts and records to evaluate care concurrent with the patients treatment. Being a Utilization Review Technician reviews treatment plans and status of approvals from insurers. Collects and complies data as required and according to applicable policies and regulations. Additionally, Utilization Review Technician consults with nurses and physicians as needed. Position is non-RN. May require an associate degree or its equivalent. Typically reports to a supervisor. May require Registered Health Information Technician (RHIT). The Utilization Review Technician gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Utilization Review Technician typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)

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Utilization Review Coordinator
  • BENEFIT MARKETING ALLIES CORP.
  • Austin, TX FULL_TIME
  • Position Description: ROLE AND RESPONSIBILITIES
    Communication with Providers regarding Pre-Authorization Requests.
    Provider Outreach Calls to retrieve Medical Records.
    Maintaining HIPAA Compliant Practices, liaison between Members & Providers.
    Full review of member medical records to aid in determination of Share Requests.
    Knowledge, and application of HealthShare Programs. Full understanding and comprehension
    Review, and identify any prior hospitalizations, procedures, advanced imaging.
    Identifying Pre-Existing Conditions in Member Medical Records.
    Member Calls to Discuss any additional records, or information as needed.
    Work Effectively, and Efficiently with Member/Provider Relations Team, for Final Dispositions.

    QUALIFICATIONS AND EDUCATION REQUIREMENTS
    REQUIRED, LPN., RN., MA. Minimum of two (2) Years of Healthcare, Insurance, or HCSM Experience. High School Diploma: Degree and/or Certification.

    PREFERRED SKILLS
    Effective and Clear Verbal and Written Communication, Active Listener, Conflict Management, Strong attention to detail, Organizational Skills, Time Management, Strong ability to multi-task. Must be a self-starter, and Team Player. Proficient in Microsoft Office Applications with heavy emphasis on Excel. Additional training is provided for programs used for processing needs.
  • 1 Day Ago

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Contract Review Technician (Production Planner)
  • Micross Components
  • Round Rock, TX FULL_TIME
  • DescriptionResponsible for facilitating internal contract review packages from quotes, packing lists, purchase orders, and document control. Performs daily data entries onto the pending report.Essenti...
  • 2 Months Ago

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Partner Level Attorney – Austin (106)
  • Denovo Review
  • Austin, TX FULL_TIME
  • Expanding national boutique defense firm practicing in the areas of financial services, risk management, bankruptcy and commercial litigation is looking for a partner level attorney to join their Aust...
  • 23 Days Ago

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Automotive technician
  • Kia Veterans Technician Apprenticeship Program (VTAP)
  • Round Rock, TX FULL_TIME
  • Kia Retailers are offering skilled and experienced military Veterans with the opportunity to begin an inspiring career as a Kia Certified Service Technician. To support this Kia Retailer initiative, K...
  • 6 Days Ago

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Automotive Technician with Kia of Round Rock
  • Kia Veterans Technician Apprenticeship Program (VTAP)
  • Round Rock, TX FULL_TIME
  • Kia Retailers are offering skilled and experienced military Veterans with the opportunity to begin an inspiring career as a Kia Certified Service Technician. To support this Kia Retailer initiative, K...
  • 8 Days Ago

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Utilization Management Coordinator - Bilingual
  • TenderHeart Health Outcomes
  • Austin, TX FULL_TIME
  • For nearly two decades, TenderHeart (formerly known as Longhorn Health Solutions) has been improving the lives of those we serve with high-quality incontinence care management. We start with each indi...
  • 1 Month Ago

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0 Utilization Review Technician jobs found in Round Rock, TX area

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TCEQ - Federal Funds Technical Specialist
  • CAPPS
  • Austin, TX
  • Job Description Are you an experienced Federal Funds Technical Specialist, ready for a unique opportunity to grow with a...
  • 5/9/2024 12:00:00 AM

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Ultrasound Technician
  • North Austin Maternal
  • Austin, TX
  • Description Introduction Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communi...
  • 5/8/2024 12:00:00 AM

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Pharmacy Technician
  • CVS Health
  • Hutto, TX
  • Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to ever...
  • 5/8/2024 12:00:00 AM

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Field Service Technical Specialist
  • Chart Industries
  • Austin, TX
  • Field Service Technical Specialist **Location:** Work From Home, XX - Home Office, United States, n/a **Company:** Chart...
  • 5/7/2024 12:00:00 AM

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Mechanic/Technician
  • The University of Texas at Austin
  • Austin, TX
  • Job Posting Title: Mechanic/Technician ---- Hiring Department: Applied Research Laboratories ---- Position Open To: All ...
  • 5/7/2024 12:00:00 AM

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Maintenance Technician
  • Willow Bridge Property Company
  • Austin, TX
  • Overview: Apartment Assistant Maintenance If you love making people feel at home, youll love working at Willow Bridge Pr...
  • 5/7/2024 12:00:00 AM

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Quality Technician
  • Snelling Staffing Services
  • Temple, TX
  • Role and Responsibilities Perform first article and final inspection of product with various MME. Maintain calibration o...
  • 5/6/2024 12:00:00 AM

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Technician
  • Micross Components
  • Round Rock, TX
  • Description Responsible for manual soldering/assembly of circuit boards. Tasks to be performed include supporting machin...
  • 5/5/2024 12:00:00 AM

Round Rock is a city in the U.S. state of Texas, in Williamson County (with a small part in Travis), which is a part of the Greater Austin, Texas metropolitan area. The population was 99,887 at the 2010 census. The city straddles both sides of the Balcones Escarpment, a fault line in which the areas roughly east of Interstate 35 are flat and characterized by having black, fertile soils of the Blackland Prairie, and the west side of the Escarpment which consists mostly of hilly, karst-like terrain with little topsoil and higher elevations and which is part of the Texas Hill Country. Located abo...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Utilization Review Technician jobs
$62,192 to $86,776
Round Rock, Texas area prices
were up 1.2% from a year ago

Utilization Review Technician in Winston Salem, NC
When considering cost of living, this places Durham, NC as 3rd out of the 4 largest nearby metros in terms of quality of life for Utilization Review Technicians**.
January 02, 2020
Utilization Review Technician in Fairbanks, AK
Current National Pharmacy Technician Certification (PTCB, ExCPT or NCCT) required.
February 03, 2020
Utilization Review Technician in Little Rock, AR
Based on our compensation data, the estimated salary potential for Utilization Review Technician will increase 16 % over 5 years.
February 07, 2020