Ampcus Inc · 5 days ago
Utilization Management Coordinator
United States
Full-time
Remote
Entry Level
3+ years expAmpcus Inc. is a certified global provider of a broad range of Technology and Business consulting services. They are seeking a highly motivated Utilization Management Coordinator to support the clinical teams with non-clinical administrative tasks related to utilization review and care coordination.
Data ManagementInformation Technology
Responsibilities
Performs member or provider related administrative support which may include benefit verification, authorization creation and management, claims inquiries and case documentation
Reviews authorization requests for initial determination and/or triages for clinical review and resolution
Provides general support and coordination services for the department including but not limited to answering and responding to telephone calls, taking messages, letters and correspondence, researching information and assisting in solving problems
Assists with reporting, data tracking, gathering, organization and dissemination of information such as Continuity of Care process and tracking of Peer to Peer reviews
Qualification
Required
Ability to effectively participate in a multi-disciplinary team including internal and external participants
Excellent communication, organizational and customer service skills
Knowledge of basic medical terminology and concepts used in managed care
Knowledge of standardized processes and procedures for evaluating medical support operations business practices
Excellent independent judgment and decision-making skills, consistently demonstrating tact and diplomacy
Ability to pay attention to the minute details of a project or task
Experience in the use of web-based technology and Microsoft Office applications such as Word, Excel, and Power Point
Must be able to effectively work in a fast-paced environment with frequently changing priorities, deadlines, and workloads that can be variable for long periods of time
Must be able to meet established deadlines and handle multiple customer service demands from internal and external customers, within set expectations for service excellence
Must be able to effectively communicate and provide positive customer service to every internal and external customer, including customers who may be demanding or otherwise challenging
High School Diploma
3 years' experience in health care claims/service areas or office support
Preferred
Two years' experience in health care/managed care setting or previous work experience within division
Knowledge of CPT and ICD-10 coding
Company
Ampcus Inc
Ampcus is a global IT and business staffing and consulting firm specializing in digital solutions and human capital management.
1001-5000 employees
H1B Sponsorship
Ampcus Inc has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (14)
2024 (13)
2023 (7)
2022 (16)
2021 (13)
2020 (18)
Funding
Current Stage
Late StageLeadership Team
Raj Narayan
Sr. Vice President, Strategic Sales
Recent News
2025-08-18
2025-07-31
Seattle TechFlash
2025-07-15
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