Job Details

A company is looking for a Utilization Management Coordinator to support clinical teams with administrative tasks related to utilization management.Key ResponsibilitiesPerform administrative support for member or provider-related tasks, including benefit verification and claims inquiriesReview authorization requests for initial determination and triage for clinical reviewProvide general support and coordination services for the department, including answering calls and assisting in problem-solvingRequired QualificationsHigh School Diploma or GED3 years of experience in healthcare claims/service areas or office support2 years of experience in a healthcare/managed care settingIntermediate knowledge of CPT and ICD-10 codingProficiency in web-based technology and Microsoft Office applications