Utilization Management and Authorization

Must have at least 1 year of Medical Management Experience (MMC) Must have off-entry and processing experience. Will be handling and processing Utilization and authorization request via FAX only Supports the Utilization Management clinical teams by assisting with non-clinical administrative tasks and responsibilities related to pre-service, utilization review, care coordination and quality of care. This position will require the individual to work thirty-two hours during the business week and ei

Company Description Lumen SolutionsGroupInc. is a technology consulting Services Company based inFlorida. Weprovidea 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, EnterpriseTransformation. Job Title: Prior Authorization Specialist Location: 100% Remote (Must work EST hours) D

Company Description Lumen SolutionsGroupInc. is a technology consulting Services company based inFlorida. Weprovidea 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 EnterpriseTransformation. Role: Utilization Management Coordinator Location: Remote Job Type: Contract Job S

Seeking a Healthcare focused, Utilization Management Coordinator, to support the Utilization Management clinical teams by assisting with non-clinical administrative tasks and responsibilities related to pre-service, utilization review, care coordination and quality of care. ESSENTIAL FUNCTIONS: - 35% Performs member or provider related administrative support which may include benefit verification, authorization creation and management, claims inquiries and case documentation. - 35% Reviews auth