Utilization Management Coordinator

Managing the end-to-end authorization process, the full-time remote Utilization Management Coordinator will oversee patient eligibility verification, maintain detailed documentation, and act as a liaison between hospital staff and health payers while ensuring compliance with healthcare regulations. Key responsibilities Manage the authorization process from initial notification to discharge, ensuring timely follow-up and accurate record keeping Maintain detailed documentation in EMR systems and health payer portals while verifying patient eligibility and benefits Act as a liaison between hospital staff and health payers to facilitate information sharing and resolve issues that may lead to delays or denials Required qualifications High School Diploma or equivalent; Associate degree in healthcare administration preferred Two years of experience in a hospital billing, follow-up, or healthcare setting related to authorization Knowledge of managed care contracts and medical terminology Experience with EMR systems, preferably Epic Proficiency in MS Office and web systems