Healthcare Utilization Management Coordinator
*******************Candidates must reside in MD, DC, or VA.*************************
Title: Healthcare Utilization Management Coordinator
Location: Baltimore, MD 21224 (Remote)
Duration: 3 Months Contract + Extnesion
Job Description:
Terms of Employment:
- Contract, Three Months (Likely Extension)
- This position is 100% remote. Candidates must reside in MD, DC, or VA.
- Hours: 8:30 AM – 5:00 PM EST.
Overview:
- Support the Commercial clinical team by managing the administrative lifecycle of patient authorizations. This role focuses on processing faxes and electronic records to ensure medical necessity reviews move forward without delay.
You will…
- Process incoming faxes and accurately enter data into the care management platform.
- Create and route authorizations for the clinical review team.
- Manage and update patient cases that lack discharge dates.
- Utilize Facets and GuidingCare to verify member and provider information.
Required Qualifications:
- 3+ years of healthcare administrative experience.
- 2+ years of experience with CPT and ICD-10 coding.
- Exceptional data entry speed and accuracy.
Preferred Qualifications:
- Experience with GuidingCare.
- Experience with Facets.
Sincerely,
Preetam Raj
Lead Technical Recruiter
nTech Workforce Inc.
D: 410-505-4857 EXT: 726
preetam(at)ntechworkforce(dot)com