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 claims or clinical management systems
• Obtains necessary information for utilization review processing from internal and external 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
• Knowledge of medical and insurance terminology
• Experience with ICD9 and CPT coding preferred