Utilization Management Coordinator

Detail-oriented and organized, the full-time remote Utilization Management Coordinator will assist the clinical team by processing clinical referrals, verifying eligibility, and entering pre-service requests using ICD 10 and CPT coding while working on a Pacific Time schedule. Key responsibilities Monitor fax folders and verify eligibility and benefit coverage for requested services Enter pre-service requests and document the referral process within the referral system Assist with correspondence related to requests and maintain documentation of expedited requests Required qualifications Minimum of 1 year experience in a medical setting with knowledge of ICD10, CPT codes, and referral systems High school diploma or GED, or equivalent combination of education and experience Proficiency in Microsoft Office and ability to type a minimum of 50 words per minute Bilingual in English and Spanish preferred Experience with the application of UM criteria and familiarity with medical terminology