Medical Management Coordinator, Utilization Management

Job overview

The Medical Management Coordinator, Utilization Management is an onsite role in Baltimore, MD. Compensation is not specified. The role supports Utilization Management clinical teams with administrative work related to pre-service review, care coordination, and quality of care. The coordinator helps keep authorization and member/provider support processes moving by handling administrative requests, triaging authorization requests, and coordinating department information and communications.

What you'll do

• Provide administrative support that may include benefit verification, authorization creation and management, claims inquiries, and case documentation
• review authorization requests for initial determination or triage them for clinical review
• respond to calls and correspondence, research information, and assist with problem solving
• support reporting, data tracking, and information organization and distribution, including Continuity of Care and Peer to Peer review tracking.

What we're looking for

Skills & competencies

medical management coordinator

utilization management

healthcare administration

authorization support

claims inquiries

care coordination

quality of care

baltimore md

talteam

high school diploma

cpt coding

icd-10

Work arrangement

• Weekend coverage required

Why this role

High school diploma and three years of experience in health care claims/service areas or office support are listed; knowledge of CPT and ICD-10 coding is preferred.

About the employer

Talteam is hiring for this role. Industry: All Other Miscellaneous Ambulatory Health Care Services. Sector: 62.