Utilization Management Coordinator

Job Summary

Working remotely on a contract basis, the Utilization Management Coordinator will manage high-volume prior authorization requests and related documentation while ensuring accuracy and efficiency in a fast-paced environment.

Key responsibilities

• Create and manage prior authorization requests through data entry and processing
• Review and triage incoming authorization requests for clinical review as necessary
• Document activities accurately and maintain organized case files

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 handle high-volume throughput (32+ faxes per day minimum)
• High School Diploma or equivalent