Utilization Management Coordinator

Job Summary

Utilization Management Coordinator is a full-time position responsible for performing denial research, compiling appeal bundles, and documenting appeal processes while working remotely.

Key Responsibilities

• Conduct denial research and follow up with insurance companies to resolve outstanding appeals
• Compile and submit appeal bundles to payers in a timely manner
• Monitor shared inboxes and internal request dashboards, documenting incoming communications

Required Qualifications, Training, and Education

• High School Diploma or equivalent required; Bachelor's degree preferred
• Understanding of denials processes for Medicare, Medicaid, and Commercial/Managed Care
• Prior experience accessing hospital EMRs and Payer Portals preferred
• Proficient in MS Word and Excel, with the ability to perform basic functions
• Must be able to type a minimum of 25 wpm with a 90% accuracy rate