Utilization Review Coordinator

Job Summary

Supporting the Utilization Review function, the part-time Utilization Review Coordinator will manage authorization processes, track clinical documentation, and assist Utilization Review Specialists while working remotely on a temporary-to-hire basis.

Key responsibilities

• Monitor and manage authorization work queues and track authorization-related information
• Coordinate the collection and submission of clinical documentation required by payers
• Assist UR Specialists with documentation preparation for initial and concurrent authorization reviews

Required qualifications

• High school diploma or equivalent required; associate or bachelor's degree in a related field preferred
• Previous experience in behavioral health, healthcare administration, or utilization management preferred
• Familiarity with commercial insurance, Medicaid, Medicare, or managed-care organizations preferred
• Experience with electronic medical records and payer portals preferred
• Knowledge of behavioral health levels of care preferred