Utilization Management Coordinator

Job Summary

A company is looking for a Coordinator, Utilization Management to manage the authorization process and ensure compliance with healthcare regulations.

Key Responsibilities

• Manage the end-to-end authorization process, including documentation and follow-up
• Act as a liaison between hospital staff and health payers to facilitate information sharing
• Maintain compliance with HIPAA and healthcare regulations while managing assigned workloads

Required Qualifications

• High School Diploma or equivalent; Associate degree in healthcare administration preferred
• 2 years of experience in hospital billing, follow-up, or authorization
• Knowledge of managed care contracts and medical terminology
• Experience with EMR systems, preferably Epic
• Proficiency in MS Office and web systems