Berkshire Hathaway Employment – Utilization Review Specialist

Berkshire Hathaway

Job Description:

Berkshire Hathaway Homestate Companies has several openings for Utilization Review Specialists in our Omaha, NE. office. The Utilization Review Specialist ensures all aspects of an injured worker’s treatment requested by a provider is medically appropriate and is reviewed in compliance with state laws and company policies.

Job Responsibilities:

  • Able to read, analyze, and interpret common scientific and technical journals, statutes, regulations, medical reports, medical coding, medical bills, financial reports, and legal documents. Able to respond to technical inquiries or complaints from Company employees, external sources, and regulatory or auditing entities. Able to effectively present information and respond to questions with managers, clients, claimants, attorneys, medical providers, and others. Able to write clear, effective correspondence on complex medical issues to people from all walks of life.
  • Able to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Able to compute rate, ratio, and percent.
  • Able to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Able to deal with problems involving several concrete variables in standardized situations.
  • LPNs, CNAs, EMTs, Radiologist Techs, Surgical Techs, Phlebotomists and similar healthcare professionals are encouraged to apply.
  • Knowledge of Microsoft Office software. Able to quickly master proprietary and vended software applications.
  • Knowledge of current evidence-based treatment guidelines and clinic and hospital operations.

Qualification & Experience:

  • BS, or Associates degree from an accredited college or technical school in a medical field; or at least six months of relevant experience and training in a medical field; or an equivalent combination of education and experience.

Job Details:

Company: Berkshire Hathaway

Vacancy Type: Full-time

Job Functions: Other

Job Location: Omaha, NE, US

Application Deadline: N/A

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