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Utilization Management Coordinator

Remote • Posted 1 day ago • Updated 2 hours ago

Contract W2

3 Months

Remote

Depends on Experience

Fitment

Dice Job Match Score™

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Job Details

Skills

UTILIZATION MANAGEMENT COORDINATOR
MEDICAL MANAGEMENT COORDINATOR
UTILIZATION REVIEW COORDINATOR
UM COORDINATOR
PRIOR AUTHORIZATION SPECIALIST
AUTHORIZATION SPECIALIST
REFERRAL COORDINATOR
MEDICAL AUTHORIZATION SPECIALIST
PRIOR AUTHORIZATION
PA PROCESSING
AUTHORIZATION ENTRY
AUTHORIZATION PROCESSING
UM
GUIDINGCARE
GUIDING CARE
FACETS
MEDICAL TERMINOLOGY
HEALTHCARE
HEALTHCARE INDUSTRY
FAX PROCESSING
DOCUMENT PROCESSING
AUTHORIZATION INTAKE
UTILIZATION MANAGEMENT
MEDICAL MANAGEMENT
CLAIMS
CLAIMS PROCESSING
ICD-10
CPT
CODING

Summary

Company Description
Lumen Solutions Group Inc. is a technology consulting Services company based in Florida. We provide a wide array of experienced business and IT professionals supporting clients from solution design to implementation and support. We specialize in professional IT consulting services, IT Staffing, Business/IT Strategy, Business Process Blueprints, Enterprise Architecture, and Enterprise Transformation.

Role: Utilization Management Coordinator
Location: Remote
Job Type: Contract

Job Summary:
We are seeking a highly detail-oriented Utilization Management Coordinator with experience in Prior Authorization (PA) processing to support healthcare operations in a fast-paced remote environment. This role is primarily focused on high-volume fax processing, authorization data entry, and ensuring accurate documentation within utilization management systems. The ideal candidate will have a strong healthcare background, solid understanding of medical terminology, and the ability to maintain productivity standards while handling sensitive healthcare information with accuracy and efficiency. Candidates with experience using GuidingCare and Facets platforms will be highly preferred and prioritized by the hiring team. This is not a call-center or customer-service-focused role; instead, it requires individuals who are organized, process-driven, and comfortable managing repetitive authorization workflows while meeting daily processing expectations.

Key Responsibilities
• Process Prior Authorization (PA) requests accurately and efficiently.
• Handle high-volume fax processing workflows.
• Enter and review authorization information within healthcare systems.
• Maintain productivity expectations of at least 40+ faxes processed daily.
• Ensure accuracy, compliance, and timely turnaround of documentation.

Required Skills & Qualifications
• 1+ year of Prior Authorization (PA) entry & processing experience.
• Healthcare industry background.
• Strong medical terminology knowledge.
• Excellent attention to detail and organizational skills.
• Experience working in fast-paced fax-processing environments.
• GuidingCare experience (Preferred).
• Facets experience for eligibility verification(Preferred).

Lumen Solutions Group Inc is an equal opportunity employer. All qualified applicants will be considered for employment without regard to any legally protected status.

Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.

Dice Id: 10483685
Position Id: 26-00390
Posted 1 day ago

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