Opportunity Description
Our Client, a Health Insurance company, is looking for a Utilization Management Coordinator to work remotely. Responsibilities:
+ 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.
+ Performs member or provider related administrative support which may include benefit verification, authorization creation and management, claims inquiries and case documentation.
+ Reviews authorization requests for initial determination and/or triages for clinical review and resolution.
+ Provides general support and coordination services for the department including but not limited to answering and responding to telephone calls, taking messages, letters and correspondence, researching information and assisting in solving problems.
+ Assists with reporting, data tracking, gathering, organization and d...
+ 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.
+ Performs member or provider related administrative support which may include benefit verification, authorization creation and management, claims inquiries and case documentation.
+ Reviews authorization requests for initial determination and/or triages for clinical review and resolution.
+ Provides general support and coordination services for the department including but not limited to answering and responding to telephone calls, taking messages, letters and correspondence, researching information and assisting in solving problems.
+ Assists with reporting, data tracking, gathering, organization and d...
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