Ampcus Inc · 3 weeks ago
Utilization Management Coordinator I
United States
Full-time
Remote
Entry Level
$22/hr - $24/hr
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 candidate to support the Utilization Management clinical teams with non-clinical administrative tasks related to pre-service, utilization review, care coordination, and quality of care.
Big DataInformation TechnologyData Management
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
Communication
data entry
medical terminology
medical knowledge
ability to multi-task
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 PowerPoint
Preferred
Two years' experience in health care/managed care setting or previous work experience within division
Knowledge of CPT and ICD-10 coding
Benefits
Work_model: [remote]
Company
Ampcus Inc
Ampcus is a global business, technology consulting and an staff augmentation firm specializing in AI/ML,digital solutions, Cybersecurity & Risk management, Testing, Forensics & Fraud services 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
4%
Represents job field similar to this job
Management and Executive
Engineering and Development
Human Resources
Marketing
Accounting and Finance
Sales
Trends of Total Sponsorships
*2026 (2)
2025 (14)
2024 (13)
2023 (7)
2022 (16)
2021 (13)
2020 (18)
Funding
Current Stage
Late StageLeadership Team
Raj Narayan
Sr. Vice President, BFSI
Alex Collins
VP Client Partner
Recent News
2026-05-07
Company data provided by crunchbase