Utilization Management Coordinator

Job Summary

A company is looking for a Utilization Management Coordinator to provide non-clinical support to the utilization management team.

Key Responsibilities

• Provide non-clinical support in processing pre-service authorization requests
• Ensure compliance with federal regulations and health plan requirements for informational notices
• Document service benefits and assist with continuity of care services

Required Qualifications

• High school diploma or GED
• Must be 18 years of age or older
• Experience in Utilization Management and benefit eligibility verification
• Proficiency with computers and Microsoft Office applications
• Knowledge of medical terminology