Job Description Job Description Utilization Management Coordinator LHH Recruitment Solutions is assisting our healthcare client in hiring a Utilization Management Coordinator. This position will be 100% onsite and a full-time, contract-to-hire opportunity. This position will be focused on obtaining pre-certifications for patient treatments, including corresponding with patients, providers and insurance companies for any necessary information for pre-cert authorizations. In addition to obtaining pre-certs, this role will also focus on appealing any denials to insurance companies for treatment and/or payments. Interested candidates must be knowledgeable of CPT, ICD, and HCPCS codes, as well different insurance payers. Requirements Associates Degree in healthcare admin or related field required CPC/CCS Certification strongly desired (not required) Minimum 3 years utilization management/medical billing and coding experience required Must be proficient working within EMR Systems and Microsoft Office Skills Excellent written and verbal communication skills, especially phone etiquette Detail oriented and ability to remain organized Able to work well independently and analytically problem solve Strong understanding of insurance payers, commercial and government Can meet production expectations as outlined by management Pay Details: $25.00 to $35.00 per hour Search managed by: Jennifer Andrews Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable. Equal Opportunity Employer/Veterans/Disabled Military connected talent encouraged to apply To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to uat.lhh.com/us/en/candidate -privacy The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable: The California Fair Chance Act Los Angeles City Fair Chance Ordinance Los Angeles County Fair Chance Ordinance for Employers San Francisco Fair Chance Ordinance Massachusetts Candidates Only: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.
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