The Utilization Review Assistant will be responsible for assisting the Utilization team with administrative responsibilities related to various stages of the Company's standard medical review practices.

Primary Responsibilities:

• Performs data entry of authorization information (per policy/procedure) into web-based system as received through telephone calls, voice mail messages and emails
• Gathers and organizes clinical information for review
• Communicates authorization request status to the providers as per policy and procedure
• Writes coverage determination letters
• Works with computer/electronic medical records on a daily basis
• Performs other duties as assigned

Required Qualifications:

• High School Diploma
• Demonstrate a proficiency in computer skills – Windows, Word, Excel, Outlook, clinical platforms, internet searches
• Knowledge of ICD 10 codes, CPT codes and medical terminology is a bonus
• Excellent organizational and communication skills
• Ability to be flexible and work in a fast-paced office environment
• Ability to prioritize a high volume of work
• Medical office or hospital experience preferred but not required

About Cobalt Benefits Group, LLC

Who We Are:

Cobalt Benefits Group, LLC (CBG) is a full service Third Party Administrator (TPA) that has specialized in the customization, marketing, and operation of self-funded employee benefit plans for over 30 years. CBG is comprised of approximately 150 employees and 3 entities:

• Blue Benefit: a venture of Blue Cross Blue Shield of Massachusetts

• CBA Blue: a venture of Blue Cross Blue Shield of Vermont

• EBPA: a privately-held TPA that specializes in ancillary benefits

What We Do:

• Self funded-insurance plans involve employers enlisting the assistance of a TPA to 1) build custom benefit plans for its workforce, 2) collect premiums from enrollees by avoiding interference and costly premiums from an insurance carrier, and 3) dispute or pay medical claims.

• CBG's wide array of products and services include administration of self-funded medical and dental plans, flexible spending accounts, parking and transit accounts, health reimbursement arrangements, tuition reimbursement programs, COBRA management, Retiree/Direct Billing programs, and premium collection services, as well as providing customized benefit solutions to businesses nationwide.

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