Hybrid Medical Management Coordinator (6-Month Contract)

System One; Baltimore (MD); Híbrido; USD 31.000 - 44.000; A tiempo parcial

Ventajas ofrecidas por este puesto de trabajo

Health benefits

Dental coverage

Vision coverage

401(k) plan

Life insurance

Descripción de la vacante

System One in Baltimore, MD is seeking a Medical Management Coordinator for a 6-month contract. The role combines onsite and remote work, totaling 40 hours per week, with compensation of $27.27 per hour.

Responsibilities include supporting utilization management teams with non-clinical tasks, benefits verification, authorization management, and data reporting. Requires 3+ years in healthcare claims or office support, CPT/ICD-10 knowledge, and strong communication skills.

Formación

• Minimum of 3 years experience in health care claims/service areas or office support.
• On-site mailing Canton Office.
• Knowledge of CPT and ICD-10 coding.
• Ability to participate in a multi-disciplinary team with internal and external participants.
• Excellent communication, organizational, and customer service skills.

Responsabilidades

• Supports Utilization Management teams with non-clinical administrative tasks for pre-service, utilization review, care coordination, and quality of care.
• Performs member or provider related administrative support, including benefit verification, authorization creation and management, claims inquiries, and case documentation.
• Reviews authorization requests for initial determination and triages for clinical review and resolution.
• Provides general support and coordination for the department, including answering calls, taking messages, handling correspondence, and researching information.
• Assists with reporting, data tracking, gathering, organization, and dissemination of information such as Continuity of Care processes and Peer to Peer reviews.

Conocimientos

Healthcare claims

Utilization management

Communication skills

Microsoft Office

CPT/ICD-10 coding

Educación

High School Diploma

Herramientas

MS Office

Word

Excel

PowerPoint

Descripción del empleo

System One in Baltimore, MD is seeking a Medical Management Coordinator for a 6-month contract. The role combines onsite and remote work, totaling 40 hours per week, with compensation of $27.27 per hour.

Responsibilities include supporting utilization management teams with non-clinical tasks, benefits verification, authorization management, and data reporting. Requires 3+ years in healthcare claims or office support, CPT/ICD-10 knowledge, and strong communication skills.