Utilization Management Coordinator

Job Summary

Supporting a Utilization Management/Medical Management team, the contract Utilization Management Coordinator will manage high-volume prior authorization requests, ensuring accurate documentation and organization while working remotely in a fast-paced environment.

Key responsibilities

• Create and manage prior authorization requests through data entry and processing
• Review incoming authorization requests and triage for clinical review as needed
• Document activities accurately and support general coordination tasks for the team

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/day minimum)
• High School Diploma or equivalent