Utilization Management Coordinator

Employer Industry: Technology and Business Consulting Services

• Opportunity for career advancement and growth within the organization
• Supportive and collaborative work environment
• Chance to make a positive impact on patient care quality
• Involvement in a multi‑disciplinary team
• Competitive benefits package

• Provide member or provider‑related administrative support, including benefit verification and claims inquiries
• Review authorization requests for initial determination and triage for clinical review and resolution
• Offer general support and coordination services for the department, including answering calls and correspondence
• Assist with reporting, data tracking, and organization of information related to care processes
• Facilitate effective communication within the team and with external participants

• Minimum of 3 years of experience in healthcare claims/service areas or office support
• High School Diploma
• Strong analytical skills and good communication abilities
• Proficient in the use of web‑based technology and Microsoft Office applications
• Knowledge of basic medical terminology and concepts used in managed care

• Two years of experience in a healthcare/managed care setting
• Familiarity with CPT and ICD‑10 coding

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