Health Services - Coord, Utilization Mgmt I

Utilization Management Coordinator I

Supports 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.

Duration: 03 months (with possible extension)

Location: 100% Remote

Education Level: High School Diploma

Experience: 3 years experience in health care claims/service areas or office support.

Top 5 Required Skills:

• Communication
• Data entry
• Medical terminology
• Medical knowledge
• Ability to multi-task

Preferred Qualifications:

• Two years' experience in health care/managed care setting or previous work experience within division
• Knowledge of CPT and ICD-10 coding.

Knowledge, Skills and Abilities (KSAs):

• Ability to effectively participate in a multi-disciplinary team including internal and external participants, Proficient
• Excellent communication, organizational and customer service skills, Proficient
• Knowledge of basic medical terminology and concepts used in managed care, Proficient
• Knowledge of standardized processes and procedures for evaluating medical support operations business practices, Proficient
• Excellent independent judgment and decision-making skills, consistently demonstrating tact and diplomacy, Proficient
• Ability to pay attention to the minute details of a project or task, Proficient
• Experienced in the use of web-based technology and Microsoft Office applications such as Word, Excel, and Power Point, Proficient

Ampcus is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veterans or individuals with disabilities.