The Non-Clinical Administrator Reviewer is responsible for supporting the Utilization Review (UR) process by performing administrative and data-related tasks. This role focuses on ensuring that requests are complete, accurately documented and properly routed, without performing any clinical evaluation or interpretation of medical information.

Duties

• Conduct initial screening of utilization review requests for completeness and accuracy of submitted information
• Review service requests to ensure all required non-clinical documentation is present
• Collect, organize and transfer non-clinical data into internal systems
• Input and maintain accurate data in Medata’s proprietary UR system
• Assist in gathering data without performing a clinical analysis
• Ensure all assigned tasks are completed within established timelines and service level agreements
• Coordinate and communicate with Initial Clinical Reviewers an...