L&I Program Assistant, Utilization Review

L&I Program Assistant, Utilization Review

• Completes administrative reviews of multiple types of UR reports from shared work lists for completeness and accuracy.
• Reviews outpatient surgery, spinal injection, advanced imaging and therapy reviews for accepted conditions, appropriate coding and date spans.
• Identifies incomplete or inaccurate reports.
• Supports UR program staff with process improvement projects including use of Visio (or other software), Excel and Microsoft Office Suite.
• Responds to phone or email inquiries regarding UR.
• Assists claims staff, bill payment staff and medical providers and directs inquiries to correct UR staff person.
• Provides general administrative support to the utilization review unit.

• High school graduation or equivalent
• 2 years of clerical/office related experience working with customers.
• 1 year clerical experience in insurance, workers’ comp or a medical provider office or equivalent.

• Health insurance
• 401k matching
• Flexible custom work schedules
• Paid holidays
• Paid personal holiday
• Sick leave
• Vacation (Annual Leave)
• Dependent care assistance
• Other insurance coverage

The Department of Labor & Industries (L&I) is a diverse state agency dedicated to the safety, health, and security of Washington's workers.