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Utilization Review Coordinator

Virtual Vocations Inc

To support clinical staff in a collaborative environment, the full-time Utilization Review Coordinator will assign utilization review requests, verify and enter data into appropriate systems, and respond to inquiries while working remotely. Key responsibilities

Accesses, triages, and assigns cases for utilization review Enters demographics and utilization review information into claims or clinical management systems, maintaining data integrity 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, including ICD9 and CPT coding Proficiency in Microsoft Office products
Vacancy posted 1 day ago
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