Utilization Management Coordinator - Remote
Remote: Baltimore, Maryland, US
Salary Range: 20.00 - 23.00 | Per Hour
Job Code: 360284
End Date: 2025-04-24
Days Left: 23 days, 1 hours left
Position:
- Utilization Management Administrative Support (Remote: Virginia, Washington DC, Maryland)
Pay Range:
- $20 - $23 an hr.
Purpose:
- Supports the Utilization Management clinical teams by assisting with non-clinical administrative tasks and responsibilities related to pre-service, utilization review, care coordination, and quality of care.
Essential Functions:
-
35% Performs member or provider-related administrative support, which may include benefit verification, authorization creation and management, claims inquiries, and case documentation.
-
35% Reviews authorization requests for initial determination and/or triages for clinical review and resolution.
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20% Provides general support and coordination services for the department, including but not limited to answering and responding to telephone calls, taking messages, handling letters and correspondence, researching information, and assisting in problem-solving.
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10% Assists with reporting, data tracking, gathering, organization, and dissemination of information, such as the Continuity of Care process and tracking of Peer-to-Peer reviews.
Qualifications:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.
Education Level:
-
High School Diploma
Experience:
-
3 years of experience in health care claims/service areas or office support.
Preferred Qualifications:
-
Two years of experience in a health care/managed care setting or previous work experience within the division.
-
Knowledge of CPT and ICD-10 coding.
Job Requirement
- Utilization Management Coordinator
- Utilization Management
- CPT
- ICD-10
- healthcare
- claims
- documentation
- reporting
- administrative
- utilization review
- care coordination
- non-clinical administrative tasks
Reach Out to a Recruiter
- Recruiter
- Phone
- Rohan Lazarus
- rohan.lazarus@collabera.com
Apply Now
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