Utilization Review Coordinator

Job Summary

A company is looking for a Utilization Review Coordinator.

Key Responsibilities

• Accesses, triages, and assigns cases for utilization review
• Enters demographics and utilization review information into the claims or clinical management system
• Obtains necessary information for utilization review processing from various sources

Required Qualifications

• High School diploma or GED required
• Two years of administrative experience or equivalent combination of experience and education required
• Customer service experience in the medical field preferred
• Experience in workers compensation, disability, and/or liability claims processing preferred
• Knowledge of medical and insurance terminology