Heathcare/ Medical Management Coordinator (Baltimore)

Laphcc; Baltimore (MD); Híbrido; USD 30.000 - 39.000; Jornada completa

Descripción de la vacante

Laphcc in Baltimore, MD is seeking a detail-oriented Medical Management Coordinator for a 6-month hybrid contract. You will support the Clinical Appeals and Analysis Unit by handling case entries, generating overturn notices, processing medical records requests, and packaging materials for mailing.

Applicants should have 2+ years of healthcare administrative experience, familiarity with GuidingCare and Facets, and knowledge of CPT/ICD terminology. Local residency near Canton/baltimore preferred.

Formación

• 2 years administrative or operational experience in healthcare
• Experience with GuidingCare and Facets
• Familiarity with CPT and ICD terminology
• Local residency near Canton, able to work on-site 1–2 days per week

Responsabilidades

• Prepare, manually print, and package full-on fair appeal cases and letters for shipment via FedEx
• Assist with shell cases and entering case details into internal systems
• Review whether medical records are required for appeal cases and fulfill requests
• Draft, review, and print standardized overturn notices and related documentation
• Initial triage of incoming documentation for appeals processing
• Use GuidingCare and Facets to access patient and claim details
• Collaborate with analysts and supervisor to maintain workflow during core hours

Conocimientos

Healthcare administration

Case processing

Data entry

Attention to detail

Herramientas

GuidingCare

Facets

Descripción del empleo

Heathcare/ Medical Management Coordinator (Baltimore)nTech WorkforceHighlandtown, MD, United States**Description**Title: Medical Management Coordinator Location: Baltimore, MD 21224 (Hybrid) Duration: 6 Months Contract Job Description: Terms of Employment W2 Contract, 6 Months Hybrid: 1–2 days on-site per week; regular weekly in-office presence required) Work Hours: Full-time, 40 hours/week (Core hours: 8:00 AM – 5:00 PM) Overview Client is seeking detail-oriented Medical Management Coordinators to join a leading healthcare organization’s Clinical Appeals and Analysis Unit (CAU) in Canton. This role provides non-clinical operational and administrative support to streamline clinical appeals, case processing, and documentation. Working alongside a dedicated team of clinical analysts and nurses, you will play a crucial role in managing case entries, generating overturn notices, processing medical records requests, and managing physical mailings. Key Responsibilities Prepare, manually print, and package full-on fair appeal cases and letters for shipment through the on-site mailroom via FedEx. Assist with creating shell cases and entering case details into internal systems based on unit needs. Review and determine if medical records are required for specific appeal cases and facilitate request fulfillment. Draft, review, and print standardized overturn notices and related case documentation. Perform initial triaging of incoming documentation to verify appropriateness for clinical appeals processing. Utilize core healthcare administration platforms (GuidingCare and Facets) to navigate patient and claim details. Collaborate with clinical analysts and supervisor team members to maintain workflow efficiency during core business hours. Required Skills & Experience 2 years of administrative or operational experience within a healthcare, managed care, or health insurance environment. Demonstrated experience navigating healthcare system platforms, specifically GuidingCare (Legacy or G6) and Facets. Familiarity with healthcare claims, clinical appeals, or Utilization Management (UM) processes. Practical knowledge or exposure to medical coding conventions, including CPT and ICD (ICD-9 / ICD-10) terminology. Local residency near the Canton location with full availability to work on-site 1–2 days per week as scheduled. Preferred Skills & Experience Previous experience in a medical billing, claims processing, or provider office setting. Familiarity with NASCO, Lotus Notes, or Explanation of Benefits (EOB) lookup systems. Prior experience handling confidential medical records, overturn notices, or legal appeal document packaging. Sincerely,Preetam Raj Lead Technical Recruiter nTech Workforce Inc. D: 410-505-4857 EXT: 726 E: [e-mail] preetam(at)ntechworkforce(dot)comJob ID: f14adde5-5939580951