Utilization Management Coordinator-w2 Only
nTech Workforce has an immediate 23374 Utilization Management CoordinatorTerms 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:Work within the Government Programs division to support Maryland Medicaid and Medicare members. You will handle a mix of fax processing and provider phone inquiries to ensure authorizations are created accurately and timely. You will…Process faxes and enter medical authorizations for Medicaid/Medicare lines of business.Handle incoming provider calls regarding authorization status.Distinguish between and utilize CPT, ICD-10, and HCPCS codes for data entry.Update patient cases in GuidingCare to ensure claims can be fully processed.Required Qualifications:3+ years of healthcare/health insurance administrative experience.2+ years of experience with CPT and ICD-10 coding.Comfort using online phone systems (Nice CXone).Preferred Qualifications:Previous experience with Medicare or Medicaid programs.Experience with GuidingCare or Facets.Benefits InformationMedical Insurance; Vision Insurance; Dental Insurance401K Retirement Plan (Discretionary Match Offered)Ancillary Coverage (Life, AD&D, Short Term / Long Term Disability)Employee Referral BonusBi-Weekly Direct DepositNote: As a contingent worker with nTech, you'll be paid for all approved hours worked; paid time off and paid holidays are not provided.nTech is an equal opportunity employer. All offers of employment are contingent upon pre-employment drug and background screenings. Only candidates who meet all of the above client requirements will be contacted by a recruiter.