Utilization Management Coordinator

Role Overview

• contributes to administration of utilization management
• performs varied activities and moderately complex administrative/operational/customer support assignments
• provides non-clinical support for the policies and procedures ensuring best and most appropriate treatment, care or services for members
• works within defined parameters to identify work expectations and quality standards, with some latitude over prioritization/timing
• follows standard policies/practices that allow for some opportunity for interpretation/deviation and/or independent discretion

Requirements

• 1+ years administrative or technical support experience
• Excellent verbal and written communication skills
• Working knowledge of MS Office including Word, Excel, and Outlook in a Windows based environment
• Proficient utilizing electronic medical record and documentation programs
• Proficient and/or experience with medical terminology and/or ICD-10 codes
• Bachelor's Degree in Business, Finance or a related field
• Prior member service or customer service telephone experience desired
• Experience with Utilization Review and/or Prior Authorization, preferably within a managed care organization

Benefits

• medical, dental and vision benefits
• 401(k) retirement savings plan
• time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave)
• short-term and long-term disability
• life insurance