Cynet Systems · 1 week ago
Utilization Management Coordinator - Remote / Telecommute
United States
Full-time
Remote
Mid Level
3+ years expCynet Systems is a company that provides a range of services, and they are seeking a Utilization Management Coordinator to support administrative and coordination tasks related to utilization management. The role involves managing authorizations, documentation, and reporting while assisting members and providers.
EmploymentRecruitingStaffing Agency
Responsibilities
Perform member and provider related administrative support including benefit verification, authorization creation and claims inquiries
Review authorization requests for initial determination or triage for clinical review and resolution
Provide general department support including answering calls, responding to inquiries, preparing correspondence, and researching information
Assist with reporting, data tracking, gathering, organization, and dissemination of information including Continuity of Care and Peer-to-Peer reviews
Qualification
Required
High school diploma
Three years of experience in health care claims, service areas, or office support
Knowledge of CPT and ICD-10 coding
Proficiency in medical terminology and managed care concepts
Strong communication, organizational, and customer service skills
Ability to exercise independent judgment and decision-making
Strong attention to detail
Proficiency in Microsoft Word, Excel, and PowerPoint and web-based technologies
Preferred
Two years of experience in a health care or managed care setting preferred
Company
Cynet Systems
Headquartered in Washington DC Metro Area, Cynet Systems is a top talent supplier for companies across North America.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Ashwani (Ash) M.
Partner and Co-CEO
Nikhil "Nick" Budhiraja
Founder / Co-CEO
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