Utilization Management Coordinator

Job Summary

Utilization Management Coordinator, a contract position supporting a leading health insurance customer, is responsible for assisting the Utilization Management clinical teams with non-clinical administrative tasks, including pre-service and utilization review, and is fully remote.

Key Responsibilities

• Review authorization requests for initial determination and triage for clinical review
• Provide general support and coordination services, including answering calls and taking messages
• Assist with reporting, data tracking, and organization of information related to care coordination

Required Qualifications

• High school diploma or equivalent
• Three years of experience in a healthcare or managed care setting
• Call center experience
• Knowledge of CPT and ICD-10 coding preferred
• Experience with administrative support related to member or provider services