Utilization Management Coordinator - Healthcare

Title: Utilization Management CoordinatorLocation: Baltimore, MD 21224 Duration: 12 Months Contract + ExtensionCandidates must reside in Maryland, Washington, DC, Pennsylvania, or Northern/Central Virginia.Job Description:Terms of Employment• W2 Contract, 12 Months• This position is primarily remote, but candidates will be required to come into the office occasionally.• The office is located in Baltimore, MD.• Candidates must reside in Maryland, Washington, DC, Pennsylvania, or Northern/Central Virginia.Overview • Our client is looking for six (6) Utilization Management Coordinators who can support the Utilization Management clinical teams by assisting with non-clinical administrative tasks and responsibilities related to pre-service, utilization review, care coordination and quality of care. The Utilization Management Coordinators will be working in a team environment, responsible for entering, routing, and updating patient cases that are lacking a discharge date using a care management software platform. The Utilization Management Coordinators will receive cases from the Manager of Clinical Support on a daily basis, review the information for discharge date information, and contact provider offices and/or facilities to gather this information if it is missing in an effort to close out the cases so claims can be fully processed.Required Skills & Experience• High School Diploma and 3+ years of experience in an administrative position in the healthcare / health insurance industries.• Strong skills in data entry, to include managing patient information.• Ability to effectively participate in a multi-disciplinary team including internal and external participants.• Excellent communication, organizational, and customer service skills.• Knowledge of basic medical terminology and concepts used in managed care.• Knowledge of standardized processes and procedures for evaluating medical support operations business practices.• Excellent independent judgment and decision-making skills, consistently demonstrating tact and diplomacy.• Ability to pay attention to the minute details of a project or task.• Microsoft Office applications such as Word, Excel, Outlook and Teams.Preferred Skills & Experience• Knowledge of healthcare claims.• Knowledge of CPT and ICD-10 coding.• Experience using a claims management platform such as GuidingCare.Sincerely,Preetam RajLead Technical RecruiternTech Workforce IncD: 410-505-4857 EXT: 726E: preetam@ntechworkforce.compreetam(at)ntechworkforce(dot)com