Utilization Management Coordinator

Job Summary

As a Casual Utilization Management Coordinator, the candidate will manage incoming authorizations, ensure compliance with insurance requirements, and serve as the primary contact for authorization-related inquiries in a full-time remote capacity.

Key responsibilities

• Process all incoming authorizations and verify eligibility or benefits as required
• Act as the main point of contact for internal and external customers regarding authorization requests
• Review authorization requests and prepare denial letters under professional supervision

Required qualifications

• High school diploma
• Two years of experience in Utilization Management, medical records, medical billing, or a medical office setting
• 2-3 years of experience with Microsoft Office programs
• Certificate or equivalent experience in medical terminology, CPT, HCPCS, and ICD coding