Review Coordinator (WI)

Title : Review Coordinator 
Location : Remote
Job Type : Contract (9 Months)
Compensation : $20-22/hr
Industry: Health Insurance
Work Arrangement: Candidates must reside within 30 miles of the Madison, WI office to facilitate company equipment pickup and return as needed.
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About the Role
Our client, a leading nonprofit health insurance organization, is seeking a Review Coordinator to support its Clinical Optimization team. This position plays a critical role in ensuring prior authorization requests, referrals, and service requests are processed accurately and efficiently to support quality healthcare delivery and positive member experiences.
This is a fully remote opportunity for detail-oriented professionals who thrive in a fast-paced healthcare environment and enjoy delivering exceptional service to providers, members, and internal stakeholders. Job Description
As a Review Coordinator, you will coordinate and support intake functions related to utilization management and clinical review processes while ensuring compliance with departmental procedures, regulatory requirements, and accreditation standards.
Responsibilities

• Receive, research, and process prior authorization requests within internal and vendor systems.
• Review and enter member administrative referrals accurately and efficiently.
• Process non-clinical service requests in accordance with established guidelines.
• Contact healthcare providers and internal departments to obtain additional clinical or administrative information needed for review completion.
• Research and resolve provider and member inquiries while maintaining positive professional relationships.
• Ensure timely and accurate data entry and documentation to support downstream operational processes.
• Maintain compliance with internal policies, regulatory requirements, and quality standards.
• Perform additional duties as assigned.

Qualifications
Required Qualifications:

• High school diploma or equivalent.
• Associate's degree or bachelor's degree preferred.
• Minimum of 2 years of healthcare industry experience in customer service, administrative support, care coordination, health plan operations, or a related field.
• Ability to accurately process and manage high volumes of information in a deadline-driven environment.
• Strong attention to detail and commitment to data accuracy.
• Proficiency with computer systems and data entry.
• Strong verbal and written communication skills.
• Ability to prioritize multiple tasks and meet established deadlines.
• Ability to work independently with limited supervision.

Preferred Qualifications:

• Knowledge of prior authorization processes within a health plan or managed care environment.
• Advanced data entry and documentation skills.
• Strong organizational and time management abilities.
• Analytical and critical-thinking skills.
• Experience researching and resolving complex provider or member inquiries.
• Demonstrated ability to maintain accuracy while managing competing priorities.

Remote Work Requirements

• Must maintain a professional and distraction-free remote work environment.
• Internet speed test results are required as part of the application process.
• Minimum internet requirements:
  • Download Speed: 25 Mbps or higher
  • Upload Speed: 5 Mbps or higher
  • Ping: Less than 100 ms
• Candidates should be prepared to provide documentation of internet speed test results during the hiring process.

Benefits
Dahl Consulting is proud to offer a comprehensive benefits package to eligible employees that will allow you to choose the best coverage to meet your family’s needs. For details, please review the DAHL Benefits Summary:  How to Apply
Take the first step on your new career path!  To submit yourself for consideration for this role, simply click the apply button and complete our mobile-friendly online application. Once we’ve reviewed your application details, a recruiter will reach out to you with next steps! Equal Opportunity Statement
As an equal opportunity employer, Dahl Consulting welcomes candidates of all backgrounds and experiences to apply. If this position sounds like the right opportunity for you, we encourage you to take the next step and connect with us. We look forward to meeting you!