#23701 Medical Management Coordinator-w2 Only

Job Description

nTech Workforce has an #23701 Medical Management Coordinator

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Terms of Employment

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• W2 Contract, 6 Months
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• Hybrid: 1–2 days on-site per week; regular weekly in-office presence required)
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• Work Hours: Full-time, 40 hours/week (Core hours: 8:00 AM – 5:00 PM)
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Overview

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• Client is seeking detail-oriented Medical Management Coordinators to join a leading healthcare organization’s Clinical Appeals and Analysis Unit (CAU) in Canton. This role provides non-clinical operational and administrative support to streamline clinical appeals, case processing, and documentation. Working alongside a dedicated team of clinical analysts and nurses, you will play a crucial role in managing case entries, generating overturn notices, processing medical records requests, and managing physical mailings.
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Key Responsibilities

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• Prepare, manually print, and package full-on fair appeal cases and letters for shipment through the on-site mailroom via FedEx.
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• Assist with creating shell cases and entering case details into internal systems based on unit needs.
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• Review and determine if medical records are required for specific appeal cases and facilitate request fulfillment.
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• Draft, review, and print standardized overturn notices and related case documentation.
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• Perform initial triaging of incoming documentation to verify appropriateness for clinical appeals processing.
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• Utilize core healthcare administration platforms (GuidingCare and Facets) to navigate patient and claim details.
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• Collaborate with clinical analysts and supervisor team members to maintain workflow efficiency during core business hours.
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Required Skills & Experience

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• 2+ years of administrative or operational experience within a healthcare, managed care, or health insurance environment.
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• Demonstrated experience navigating healthcare system platforms, specifically GuidingCare (Legacy or G6) and Facets.
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• Familiarity with healthcare claims, clinical appeals, or Utilization Management (UM) processes.
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• Practical knowledge or exposure to medical coding conventions, including CPT and ICD (ICD-9 / ICD-10) terminology.
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• Local residency near the Canton location with full availability to work on-site 1–2 days per week as scheduled.
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• Preferred Skills & Experience
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• Previous experience in a medical billing, claims processing, or provider office setting.
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• Familiarity with NASCO, Lotus Notes, or Explanation of Benefits (EOB) lookup systems.
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• Prior experience handling confidential medical records, overturn notices, or legal appeal document packaging.
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Benefits Information

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• Medical Insurance; Vision Insurance; Dental Insurance
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• 401K Retirement Plan (Discretionary Match Offered)
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• Ancillary Coverage (Life, AD&D, Short Term / Long Term Disability)
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• Employee Referral Bonus
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• Bi-Weekly Direct Deposit
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• Note: As a contingent worker with nTech, you'll be paid for all approved hours worked; paid time off and paid holidays are not provided.
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• 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.
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