Utilization Review Coordinator
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A company is looking for a Utilization Review Coordinator.
Key Responsibilities
Accesses, triages, and assigns cases for utilization review
Enters demographics and utilization review information into claims or clinical management systems
Obtains necessary information for utilization review processing from internal and external sources
Required Qualifications
High School diploma or GED required
Two years of administrative experience or equivalent combination of experience and education required
Customer service experience in the medical field preferred
Knowledge of medical and insurance terminology
Experience with ICD9 and CPT coding preferred