Utilization & Care Coordination Specialist

Ampcus, Inc; Reston (VA); On-site; USD 45,000 - 60,000; Full time

Job summary

Ampcus, Inc is seeking a Utilization Management Coordinator in Reston, VA. This role involves supporting clinical teams with administrative tasks related to utilization review and care coordination. Candidates should have a High School Diploma and three years’ experience in health care claims/support areas. Preferred qualifications include experience in managed care settings and familiarity with CPT and ICD-10 coding. A strong emphasis on communication, organizational, and customer service skills is required for success in this fast-paced environment.

Qualifications

• 3 years' experience in health care claims/service areas or office support.
• Two years' experience in health care/managed care setting preferred.
• Knowledge of CPT and ICD-10 coding preferred.

Responsibilities

• Provides member or provider related administrative support.
• Reviews authorization requests for determination.
• General support and coordination services for the department.
• Assists with reporting and data tracking.

Skills

Communication skills

Organizational skills

Customer service skills

Knowledge of medical terminology

Proficiency in Microsoft Office

Ability to work in a team

Education

High School Diploma

Tools

Microsoft Word

Microsoft Excel

Microsoft Power Point

Job description

Ampcus, Inc is seeking a Utilization Management Coordinator in Reston, VA. This role involves supporting clinical teams with administrative tasks related to utilization review and care coordination. Candidates should have a High School Diploma and three years’ experience in health care claims/support areas. Preferred qualifications include experience in managed care settings and familiarity with CPT and ICD-10 coding. A strong emphasis on communication, organizational, and customer service skills is required for success in this fast-paced environment.