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)

Recently Added Utilization Review Technician jobs

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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 Month 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...
  • 1 Month 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...
  • 14 Days Ago
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Automotive Technician with Kia North Austin
  • Kia Veterans Technician Apprenticeship Program (VTAP)
  • Austin, 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...
  • 22 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...
  • 13 Days Ago
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Utilization Management Nurse
  • Ethos Risk Services
  • Austin, TX FULL_TIME
  • Position Overview The Utilization Review Nurse is responsible for coordinating all components of the utilization review process, which includes timely review of treatment requests for medical necessit...
  • Just Posted
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0 Utilization Review Technician jobs found in Round Rock, TX area

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Commercial Claim Advocate Technical Specialist (Field)
  • COLUMBIA INSURANCE GROUP
  • Austin, TX
  • Job Details Job Location TX - Austin, TX Remote Type Fully Remote Position Type Full Time Description Pay Philosophy The...
  • 4/19/2024 12:00:00 AM
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Behavior Technician
  • The Center for Autism and Related Disorders, Inc.
  • Georgetown, TX
  • ORGANIZATION Pantogran, DBA CARD, is seeking highly motivated professionals to join our team. As a part of our growing o...
  • 4/19/2024 12:00:00 AM
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Tire Technician
  • Tires To You South Austin
  • Cedar Park, TX
  • Job Description Job Description Installing and repairing tires, as well as rotate and balance tires. This position is fo...
  • 4/19/2024 12:00:00 AM
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Nail Technician
  • Hiring Now!
  • Pflugerville, TX
  • Job Number 24063859 Job Category Spa Location W Austin, 200 Lavaca Street, Austin, Texas, United States VIEW ON MAP Sche...
  • 4/18/2024 12:00:00 AM
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Pharmacy Technician
  • Costco Wholesale Corporation
  • Pflugerville, TX
  • Job Description Assists pharmacist to fill, dispense prescriptions for customers. Assists customers at counter, retrieve...
  • 4/17/2024 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...
  • 4/15/2024 12:00:00 AM
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Facilities Technician
  • AEG
  • Cedar Park, TX
  • JOB SUMMARY:The Facilities Technician performs a variety of activities involved in the operation and maintenance of the ...
  • 4/15/2024 12:00:00 AM
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HVAC Technician
  • MLD Services LLC
  • Cedar Park, TX
  • Job Description Job Description The Service Technician reports to the Service Manager, and is responsible for performing...
  • 4/15/2024 12:00:00 AM
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About Round Rock, Texas

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
$62,054 to $86,586
Round Rock, Texas area prices
were up 1.2% from a year ago
View detail

What does a Utilization Review Technician do?

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