Utilization Management Coordinator العربية

Utilization Management Coordinator

KMM Technologies, Inc.

Posted on : 10-07-2024

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Job Location

Baltimore, OH - USA

Monthly Salary

Not Disclosed

Salary Not Disclosed

Posted on : 10-07-2024

Job Description

Reach me on Tel: (240)Email:

Position: Utilization Management Coordinator
Location: Baltimore MD # Primarily remote Occasionally required onsite
Contract Position

Job Description:

Supports the Utilization Management clinical teams by assisting with nonclinical administrative tasks and responsibilities related to preservice utilization review care coordination and quality of care.

Medical background computer skills medical terminology claims and service office support CPT and ICD10 coding

Qualifications:

Education Level: High School Diploma

3 years experience in health care claims/service areas or office support.

Two years experience in health care/managed care setting or previous work experience within division Knowledge of CPT and ICD10 coding.

Ability to effectively participate in a multidisciplinary team including internal and external participants. Proficient

Excellent communication organizational and customer service skills. Proficient

Knowledge of basic medical terminology and concepts used in managed care. Proficient

Knowledge of standardized processes and procedures for evaluating medical support operations business practices. Proficient

Excellent independent judgment and decisionmaking skills consistently demonstrating tact and diplomacy. Proficient

Ability to pay attention to the minute details of a project or task Proficient

Experienced in the use of webbased technology and Microsoft Office applications such as Word Excel and Power Point Proficient

ESSENTIAL FUNCTIONS:

35% Performs member or provider related administrative support which may include benefit verification authorization creation and management claims inquiries and case documentation.

35% Reviews authorization requests for initial determination and/or triages for clinical review and resolution.

20% 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.

10% Assists with reporting data tracking gathering organization and dissemination of information such as Continuity of Care process and tracking of Peer to Peer reviews.

Thanks & Regards

LAXMAN
KMM Technologies Inc.
CMMI Level 2 ISO 9001 ISO 20000 ISO 27000 Certified
WOSB SBA 8(A) MDOT MBE & NMSDC MBE
Tel: (240)Email:

Employment Type

Full Time

Company Industry

Key Skills

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About Company

KMM Technologies, Inc.

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Utilization Management Coordinator

KMM Technologies, Inc.

Job Description

Employment Type

Company Industry

Key Skills

About Company

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