Coordinator - Utilization Management Outpatient

Under the general direction of the UM Outpatient Manager and Supervisor, the Outpatient UM Coordinator, is a high paced position that requires timely processing of authorization requests, verifying eligibility and obtaining additional information as requested by Medical Management or Utilization Management Nurses. This position requires that one be organized, ability to multitask with a working knowledge of ICD.9/10, CPT Coding and Medical Terminology. The Outpatient UM Coordinator will also ensure that provider calls are responded to in an accurate and timely manner while always maintaining highest level of customer service, in addition to collaboration with, inter-departments to ensure member needs are met while simultaneously building strong peer relationships.

Education & Experience

Minimum of three (3) years of experience as a data entry specialist or coordinator

High school diploma or GED required

Key Qualifications

Requires knowledge of ICD-9/10 and CPT codes

Managed Care or physician office a must

Skilled in computer applications, including word processing, database, and spreadsheets

Good customer service skills

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