Under the general direction of the UM Outpatient Manager and Supervisor, the Outpatient UM Coordinator, is a high paced position that requires timely processing of authorization requests, verifying eligibility and obtaining additional information as requested by Medical Management or Utilization Management Nurses.  This position requires that one be organized, ability to multitask with a working knowledge of ICD.9/10, CPT Coding and Medical Terminology. The Outpatient UM Coordinator will also ensure that provider calls are responded to in an accurate and timely manner while always maintaining highest level of customer service, in addition to collaboration with, inter-departments to ensure member needs are met while simultaneously building strong peer relationships.

Education & Experience

• Minimum of three (3) years of experience as a data entry specialist or coordinator


• High school diploma or GED required

Key Qualifications

• Requires knowledge of ICD-9/10 and CPT codes


• Managed Care or physician office a must


• Skilled in computer applications, including word processing, database, and spreadsheets


• Good customer service skills