Utilization Management Coordinator

Job Summary

A company is looking for a Utilization Management Coordinator I.

Key Responsibilities

• Act as a liaison between financial counselors and business office staff, providing support to the Intake Department
• Work with the management team to address customer service issues and ensure smooth operations
• Obtain authorizations for services and verify patient eligibility status with managed care companies

Required Qualifications

• At least one year of experience in insurance verification, billing, and collections in a medical office or hospital setting
• Experience with OncoEMR system is preferred
• Ability to work independently and manage time effectively
• Knowledge of Medicaid and Medipass patient processes
• Familiarity with patient insurance coverage limitations and restrictions