Health Services – Coordinator, Utilization Management

Employer Industry: Healthcare Consulting

• Opportunity for career advancement and growth within the organization
• Supportive and collaborative work environment
• Chance to make a positive impact on patient care and quality of service
• Work in a dynamic and fast-paced healthcare setting
• Develop valuable skills in utilization management and care coordination

• Perform administrative support related to benefit verification, authorization creation, claims inquiries, and case documentation
• Review authorization requests for initial determinations and triage for clinical review and resolution
• Provide general support and coordination services for the department, including answering calls, taking messages, and assisting in problem-solving
• Assist with reporting, data tracking, and disseminating information related to care processes and peer reviews
• Collaborate effectively within a multi-disciplinary team to enhance service delivery

• Minimum of 3 years’ experience in healthcare claims/service areas or office support
• High School Diploma
• Previous authorization experience
• Strong analytical and communication skills
• Reliability and dependability in performing job duties

• Two years’ experience in a healthcare/managed care setting
• Knowledge of CPT and ICD-10 coding
• Proficient in web-based technology and Microsoft Office applications such as Word, Excel, and Power Point

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