What are the responsibilities and job description for the Utilization Management Coordinator position at nTech Workforce?
Terms of Employment:
- W2 Contract, Three Months (Likely Extension)
- This position is 100% remote. Candidates must reside in MD, DC, or VA.
- Hours: 8:30 AM – 5:00 PM EST.
Overview:
Work within the Government Programs division to support Maryland Medicaid and Medicare members. You will handle a mix of fax processing and provider phone inquiries to ensure authorizations are created accurately and timely. You will…
- Process faxes and enter medical authorizations for Medicaid/Medicare lines of business.
- Handle incoming provider calls regarding authorization status.
- Distinguish between and utilize CPT, ICD-10, and HCPCS codes for data entry.
- Update patient cases in GuidingCare to ensure claims can be fully processed.
Required Qualifications:
- 3 years of healthcare/health insurance administrative experience.
- 2 years of experience with CPT and ICD-10 coding.
- Comfort using online phone systems (Nice CXone).
Preferred Qualifications:
- Previous experience with Medicare or Medicaid programs.
- Experience with GuidingCare or Facets.
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nTech is an equal opportunity employer. All offers of employment are contingent upon pre-employment drug and background screenings. Only candidates who meet all of the above client requirements will be contacted by a recruiter.