Utilization Management Coordinator

Job Summary

To support Utilization Management clinical teams, the remote contract Utilization Management Coordinator I will assist with non-clinical administrative tasks related to pre-service, utilization review, care coordination, and quality of care while working east coast hours.

Key responsibilities

• Assist with administrative tasks including benefit verification, authorization management, and claims inquiries
• Review authorization requests for initial determination and triage for clinical review
• Provide general support for the department, including managing correspondence and data tracking

Required qualifications

• High School Diploma or equivalent
• 1 to 3 years of experience in healthcare claims/service areas or office support
• Two years of experience in a healthcare/managed care setting
• Knowledge of CPT and ICD-10 coding
• Proficient in Microsoft Office applications, including Word, Excel, and PowerPoint