Florida Licensed Utilization Coordinator

Job Summary

Supporting the Utilization Management team, the full-time Florida Licensed Utilization Coordinator will manage clinical requests, authorizations, and communications with payors while working remotely.

Key responsibilities

• Process and document clinical requests, authorizations, and denial communications from payors
• Monitor and address electronic faxes and emails from payors, forwarding communications to appropriate team members
• Track and trend payor issues, escalating potential contractual issues to Utilization Management leadership

Required qualifications

• High School diploma or equivalent required; Associate degree preferred
• Experience in a healthcare or hospital setting required
• Knowledge of Utilization Management processes preferred
• Proficiency in Microsoft Office Products and relevant software platforms required
• Ability to work with minimal supervision and manage multiple tasks effectively