Bilingual Utilization Review Coordinator

Job Summary

A company is looking for a Bilingual UR Intake Coordinator.

Key Responsibilities

• Assist in health management and utilization review by processing requests from healthcare providers
• Maintain relationships with providers and ensure accurate authorization information is entered into the system
• Collaborate with various departments to provide necessary information for clinical reviews and manage patient-related communications

Required Qualifications

• High school education or equivalent and/or two years of experience in a health insurance environment
• Experience in Utilization or Case Management interacting with clinical staff
• Good understanding of health benefits claims processing and medical coding (CPT, HCPCS, ICD-9/10)
• Proficiency in Microsoft Office and electronic health record software
• Fluency in both English and Spanish, with the ability to use Spanish up to 50% of the time