{"schemaVersion":"jobsearcher.job.v1","id":"b3cfd6ca55522fa61ca416c5","url":"https://jobsearcher.com/jobs/b3cfd6ca55522fa61ca416c5","canonicalUrl":"https://jobsearcher.com/jobs/b3cfd6ca55522fa61ca416c5","title":"Utilization Management Coordinator-w2 Only (Reston)","description":"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.","company":"NTech Workforce","rawCompany":"ntech workforce","city":"Reston","state":"VA","isRemote":false,"isActive":false,"createdAt":"2026-06-04T11:29:30.053Z","occupations":[{"code":"29-9021.00","title":"Health Information Technologists and Medical Registrars","slug":"health-information-technologists-and-medical-registrars"},{"code":"29-2099.00","title":"Health Technologists and Technicians, All Other","slug":"health-technologists-and-technicians-all-other"},{"code":"21-1022.00","title":"Healthcare Social Workers","slug":"healthcare-social-workers"}],"industries":[{"code":"524292","title":"Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds","slug":"pharmacy-benefit-management-and-other-third-party-administration-of-insurance-and-pension-funds"},{"code":"561320","title":"Temporary Help Services","slug":"temporary-help-services"},{"code":"622110","title":"General Medical and Surgical Hospitals","slug":"general-medical-and-surgical-hospitals"}],"jobPosting":{"@context":"https://schema.org","@type":"JobPosting","title":"Utilization Management Coordinator-w2 Only (Reston)","description":"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.","datePosted":"2026-06-04T11:29:30.053Z","dateModified":"2026-06-04T11:29:30.053Z","hiringOrganization":{"@type":"Organization","name":"NTech Workforce","sameAs":"https://jobsearcher.com"},"jobLocation":{"@type":"Place","address":{"@type":"PostalAddress","addressLocality":"Reston","addressRegion":"VA","addressCountry":"US"}},"identifier":{"@type":"PropertyValue","name":"JobSearcher","value":"b3cfd6ca55522fa61ca416c5"},"url":"https://jobsearcher.com/jobs/b3cfd6ca55522fa61ca416c5"}}