Remote Healthcare Utilization Coordinator

nTech Workforce; United States; Remote; USD 50,000 - 70,000; Full time

Job summary

A leading healthcare organization is seeking a Senior Specialist, Talent Acquisition. This 100% remote position requires candidates to reside in MD, DC, or VA. You will manage high-volume inbound calls, process medical authorizations, and ensure accurate patient data entry. Ideal candidates have a High School Diploma and at least 3 years of related administrative experience in healthcare. Experience with GuidingCare and ICD-10 coding is preferred. Join us to support our vital clinical teams and providers.

Qualifications

• 3+ years of administrative experience in healthcare or health insurance.
• Previous Call Center experience is mandatory.
• Ability to work with CPT and ICD-10/diagnosis coding.

Responsibilities

• Manage high-volume inbound phone calls from provider offices.
• Process incoming faxes and create medical authorizations.
• Review patient cases for missing discharge dates.

Skills

Call Center experience

CPT coding

ICD-10 coding

Microsoft Office proficiency

Education

High School Diploma

Tools

GuidingCare

Facets

Nice CXone

Job description

A leading healthcare organization is seeking a Senior Specialist, Talent Acquisition. This 100% remote position requires candidates to reside in MD, DC, or VA. You will manage high-volume inbound calls, process medical authorizations, and ensure accurate patient data entry. Ideal candidates have a High School Diploma and at least 3 years of related administrative experience in healthcare. Experience with GuidingCare and ICD-10 coding is preferred. Join us to support our vital clinical teams and providers.