Health Services Coordinator, Utilization Management I.

Ampcus Inc. is a certified global provider of a broad range of Technology and Business consulting services. We are in search of a highly motivated candidate to join our talented Team.





Job Title: Health Services – Coordinator, Utilization Management I.

Location: Reston, VA.









Description:

Purpose:

• 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.

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 authorization requests for initial ...