Review Coordinator

Job Summary

A company is looking for a Review Coordinator to support intake functions within the Utilization Management Department.

Key Responsibilities

• Triage, research, and enter acute inpatient hospital admissions and outpatient medical prior authorization requests
• Triage, research, and enter member administrative referrals and non-clinical service requests
• Conduct outreach to providers for additional clinical information and resolve provider and member questions

Required Qualifications

• High School Diploma or Equivalent; Associate's or Bachelor's degree preferred
• 2+ years of healthcare industry experience within a professional customer service or related experience
• Knowledge of prior authorization or hospital admission processes preferred
• Advanced data entry skills
• Ability to work with limited supervision