Lumen Solutions Group Inc. · 1 week ago
Coord, Utilization Mgmt I
United States
Full-time
Remote
Entry Level
$24/hr - $24/hr
3+ years expLumen Solutions Group Inc. is a company that focuses on providing support in healthcare settings. They are seeking a Coordinator for Utilization Management to assist with non-clinical administrative tasks related to utilization review and care coordination.
Information Technology & Services
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
High School Diploma
3 years experience in health care claims/service areas or office support
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
Experienced in the use of web-based technology and Microsoft Office applications such as Word, Excel, and Power Point
Previous authorization experience
Strong analytical skills
Good communication skills
Electronic efficiency
Reliability/Dependability
Preferred
Two years' experience in health care/managed care setting or previous work experience within division
Knowledge of CPT and ICD-10 coding
Company
Lumen Solutions Group Inc.
Lumen Solutions Inc., is a dynamic small and minority-owned, Disadvantaged Business Enterprise headquartered in Virginia, USA.
51-200 employees
Funding
Current Stage
Growth StageLeadership Team
Charanjiv Gadh
Chief Executive Officer
Company data provided by crunchbase