Utilization Review Coordinator

Job Overview

We are seeking a highly organized and detail-oriented Utilization Review Coordinator to support multiple healthcare facilities by managing insurance authorizations and utilization review processes. This role focuses on ensuring that authorization requests and reviews are submitted accurately, tracked efficiently, and completed within required timeframes, while maintaining compliance with payer and regulatory guidelines.

The ideal candidate is comfortable working in a fast-paced, deadline-driven environment, communicates professionally with external stakeholders, and has strong administrative and tracking skills.

Key Responsibilities

Insurance Authorizations & Utilization Review

• Submit initial authorization requests and concurrent reviews to medical insurance providers
• Track authorization due dates, follow-ups, and approval statuses across multiple cases
• Ensure all required clinical and adminis...