What are the responsibilities and job description for the Managed Care Coordinator UM II position at TALENT Software Services?
Preferred / Nice-to-Have Skills
- Utilization Management experience
- Appeals processing experience
- Strong clinical skills
- Experience in Behavioral Health or Infusion Therapy
- Process prior authorization requests for Medicare Advantage
- Handle appeals and utilization review (UR) cases
- Work with multiple applications to manage workflows
- Apply Medicare guidelines/criteria in decision-making
- Frequent job changes in a short period
- Non-local candidates
- Lack of clinical/medical experience
- Strong written clinical communication skills
- Ability to process requests accurately and within timelines
- Good collaboration and team communication skills
- Ability to work in a fast-paced environment
Salary : $34