Utilization Management Coordinator

Job Summary

To support a growing healthcare team, the full-time Utilization Management Coordinator will manage incoming authorizations, serve as the primary contact for authorization inquiries, and ensure compliance with industry regulations while working remotely on a casual, 6-month contract basis.

Key responsibilities:

• Process all incoming authorizations, including eligibility verification and data entry into Tapestry
• Act as the main point of contact for internal and external customers regarding authorization requests
• Review authorization requests and prepare denial letters under supervision, ensuring accurate communication with provider offices

Required qualifications:

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