Utilization Management Coordinator

Job Summary

Focused on driving efficient authorization processes, the full-time Utilization Management Coordinator will manage incoming authorizations, serve as the primary contact for inquiries, and review requests while working remotely.

Key responsibilities

• Handle all incoming authorizations, including eligibility verification and data entry into Tapestry
• Act as the main contact for internal and external customers regarding authorization-related inquiries
• 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
• 2-3 years of experience with Microsoft Office programs
• Certificate or equivalent experience in medical terminology, CPT, HCPCS, and ICD coding