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Utilization Management Coordinator Job

Eingestellt von Yoh

Gesuchte Skills: Client

Projektbeschreibung

UTILIZATION MANAGEMENT COORDINATOR needed for a CONTRACT opportunity with Yoh's client located in Richmond, CA.

TOP SKILLS SHOULD YOU POSSESS:

- Utilization Management or Managed Care Experience
- CPT, ICD-9, and HCPCS coding Experience

WHAT YOU'LL BE DOING:

- Responsible for processing inpatient and outpatient provider authorization requests in order to ensure member eligibility and benefit availability while focusing on the use of preferred providers.
- Completes approvals with required documentation within regulatory timeframe.
- Notify members and providers of determinations verbally and in writing per requirements.
- Perform all other duties as assigned.

WHAT YOU NEED TO BRING TO THE TABLE:

- Two (2) years of college or equivalent work experience
- Two (2) or more years of working experience in a Managed Care environment
- CPT, ICD-9, and HCPCS coding experience
- Knowledge of hospital based services and contracts
- Proficient in Microsoft Application (Work, Excel, and Powerpoint)

WHAT ARE YOU WAITING FOR? APPLY NOW!

RECRUITER: Annie Gill

Yoh makes finding and applying for jobs simple. Partner with Yoh to find the right opportunities across multiple industries in the US and UK. Find out more here !

Yoh, a Day & Zimmermann company, is an Equal Opportunity Employer, M/F/D/V.

J2W: HC

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Ref:

SFSF: HC

Projektdetails

  • Vertragsart:

    Contract

  • Berufserfahrung:

    Keine Angabe

Geforderte Qualifikationen

  • Kategorie:

    IT Entwicklung

  • Skills:

    client

Yoh