Utilization Management Coordinator

Job Summary

To support a Utilization Management/Medical Management team, the contract Utilization Management Coordinator will handle high-volume prior authorization administrative work, including data entry and processing, while working remotely and requiring availability on weekends.

Key responsibilities

• Create and manage prior authorization requests through data entry and processing
• Review incoming authorization requests and triage for clinical review when necessary
• Document activity accurately and maintain organized case files while supporting general coordination tasks

Required qualifications

• 1+ year of experience as a Utilization Management Coordinator or similar role
• Hands-on experience with prior authorization entry and processing
• Strong knowledge of medical terminology
• Proven ability to manage high-volume throughput, handling a minimum of 32 faxes per day
• High School Diploma or equivalent