TELLIGEN Review Assistant in WEST DES MOINES, Iowa

Review AssistantTelligen is one of the most respected health management organizations in the country. We enjoy a friendly work environment where everyone is dedicated to mutual trust, respect, and excellence. Telligen employee-owners are committed to finding innovative solutions, which makes us the first choice for a broad range of clients. We make a difference, in the lives of people, in the world of healthcare.As a 100% employee-owned company, our employee-owners drive our business, our solutions and share in our success. Telligen attracts a highly qualified and diverse workforce who display deep dedication, unwavering integrity and willingness to support the communities in which we serve. We approach our vision to be one of the most sought-after companies to transform the health of populations by following through on our values of Ownership, Community, Ingenuity & Integrity.As a Review Assistant at Telligen, you will be responsible for inbound and outbound communication in support of case review activities including collection and confirmation of data integrity in support of clinical review services.The Gig:Interprets review guidelines to facilitate forward movement of the case review process including requests for clinical information, treatment plans, discharge dates and communicating the authorization for requested services.Coordinates, distributes and tracks highly confidential medical information from multiple sources (fax, web, and phone).Interprets and adheres to URAC standards for assigned programs as well as federal and state requirements.Ensures quality customer service by responding to phone inquiries from members, physicians, and providers.Prioritizes workload to meet program or regulatory time frames.Provides verbal and written communications of review decisions to include administrative denials.Completes service/treatment screens for accurate transmission of outcome decision.What you need to make the cut:High school diploma or equivalent.2 years experience working in a customer service or healthcare environment.Demonstrated ability working with confidential information and in a deadline driven environment.Excellent verbal and written communication skills and intermediate PC skills.Experience in a health care environment preferred.Satisfactory completion of medical terminology course preferred.Why Telligen... for over 45 years Telligen has been dedicated to the delivery of innovative health management solutions which improve the quality and cost-effectiveness of healthcare for consumers and providers. Telligen serves commercial clients and government programs at the federal, state and local level, improving health for millions of people nationwide.Competitive pay and benefits. We offer comprehensive benefits including medical, dental, vision, HSA & flex spending accounts, life insurance, disability, 401(k) and an ESOP (Employee Stock Ownership Plan).100% Employee-Owned. We have a culture where Ownership matters!Life/Work Balance. Generous holiday, volunteer and paid time-off benefits.Casual Dress. Come in a sweatshirt, jeans, everyone else here.Free Fruit Friday. You know what they say about an 'Apple a Day'!Giving Garden. Have a green thumb? Over 3,000 pounds of produce donated annually.Wellness Program. Healthy employee-owners are engaged employee-owners and we are committed to providing many opportunities to motivate you along your well-being journey through our RevUP! wellness program.Education. Tuition and education assistance & career related CEU's, license and certifications.Community. Our Telligen Community Initiative has awarded more than $4 million in grant awards since 2005.Interested? Now that you know a little about us, we'd like to learn more about you. Please include a current resume with your application. We also highly recommend including a cover letter where you can highlight why you think you'd be a great fit within the team... we promise we will read it all the way through!T