Ampcus Inc

Health Services – Coordinator, Utilization Management I.


PayCompetitive
LocationVienna/Virginia
Employment typeFull-Time
  • Job Description

      Req#: 26-03190
      Employer Industry: Healthcare Consulting

      Why consider this job opportunity:
      - Opportunity for career advancement and growth within the organization
      - Supportive and collaborative work environment
      - Chance to make a positive impact on patient care and quality of service
      - Work in a dynamic and fast-paced healthcare setting
      - Develop valuable skills in utilization management and care coordination

      What to Expect (Job Responsibilities):
      - Perform administrative support related to benefit verification, authorization creation, claims inquiries, and case documentation
      - Review authorization requests for initial determinations and triage for clinical review and resolution
      - Provide general support and coordination services for the department, including answering calls, taking messages, and assisting in problem-solving
      - Assist with reporting, data tracking, and disseminating information related to care processes and peer reviews
      - Collaborate effectively within a multi-disciplinary team to enhance service delivery

      What is Required (Qualifications):
      - Minimum of 3 years’ experience in healthcare claims/service areas or office support
      - High School Diploma
      - Previous authorization experience
      - Strong analytical and communication skills
      - Reliability and dependability in performing job duties

      How to Stand Out (Preferred Qualifications):
      - Two years’ experience in a healthcare/managed care setting
      - Knowledge of CPT and ICD-10 coding
      - Proficient in web-based technology and Microsoft Office applications such as Word, Excel, and PowerPoint

      #HealthcareConsulting #UtilizationManagement #CareerOpportunity #HealthcareJobs #TeamCollaboration

      We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately.
      We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.
  • About the company

      Ampcus Inc. is an ISO 20000, ISO 27000, ISO 9001, CMMI DEV/3 SM, and CMMI SVC/3 SM certified global provider of a broad range of Technology and Business consulting services. From strategy to execution, our disciplined yet flexible approach starts and ends with our clients. By listening hard and working harder, client goals become our goals.

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