Outpatient Utilization Management Coordinator: HealthCare Support seeks Outpatient Utilization Management Coordinator to fill a Fortune 100 company opening.

Daily Responsibilities For Outpatient Utilization Management Coordinator

• Process and manage authorization requests by monitoring the fax server, verifying eligibility, reviewing referral forms for completeness, and initiating coding, ensuring all are completed within required timeframes.
• Support Utilization Management operations by collaborating with UM Nurses, responding to provider inquiries, and assisting with authorizations, modifications, and denials while meeting accuracy standards.
• Maintain excellent communication and customer service by professionally representing the organization in calls and interactions with providers, and assisting management or nursing staff as needed.
• Shift: M-F, 8-5
  
  
  

Required Qualifications For Outpatient Utilization Management Coordinator

• High school diploma or GED (Associates or Bachelors confirmed)
• 3 years of healthcare data entry experience (strong typing skills, ability to type 40+ WPM)
• 2 years of experience working with authorizations and referrals within a MCO or physician office setting
• Experience working with ICD and CPT codes
• Strong tenure in past roles, 1-2+ years in previous positions
• Computer skills - Microsoft Office, strong typing skills
  
  
  

Benefits of a Outpatient Utilization Management Coordinator:

• Immediate enrollment in Health Insurance
• Dental Insurance
• Life Insurance
• Employee Assistance Program (EAP)
• Access to Investment Accounts
• Career and educational tools within our Ingenovis ACT (Advocacy) Program
  
  
  

Pay Details: $30.57 - $30.57- per hour

Location: Rancho Cucamonga, CA 91730

Interested in being considered?

If you are interested in applying to this position, please click Apply Now for immediate consideration.

For direct contact, please email a copy of your resume to [email protected] with your phone number and the Job title Outpatient Utilization Management Coordinator.

Healthcare Support Staffing, LLC is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.

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