Utilization Management Coordinator

Job Summary

A company is looking for a Utilization Management Coordinator.

Key Responsibilities

• Assist the clinical team with administrative tasks related to Utilization Management prior authorizations and appeals
• Verify eligibility, documentation, and process incoming requests in the UM platform
• Generate correspondence and assist with inquiries from internal and external sources

Required Qualifications

• 1 year of experience as a UM Coordinator in a managed care payer environment preferred
• Knowledge of ICD-10, HCPCS codes, and medical terminology required
• Strong computer skills with proficiency in Word, Outlook, and other software applications
• Ability to prioritize multiple tasks using time management and organizational skills
• Experience with DMEPOS and Medicare/Medicaid is a plus