Utilization Management Coordinator

Job Summary

A company is looking for a Utilization Management Coordinator to support clinical teams with administrative tasks related to healthcare services.

Key Responsibilities

• Perform administrative support for members or providers, including benefit verification and claims inquiries
• Review authorization requests and triage for clinical review and resolution
• Provide general departmental support, including answering calls and assisting with data tracking and reporting

Required Qualifications

• High School Diploma or GED
• 3 years of experience in healthcare claims/service areas or office support
• 2 years of experience in a healthcare/managed care setting
• Intermediate knowledge of CPT and ICD-10 coding
• Proficient in Microsoft Office applications and web-based technology