Job Description
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: Utilization Management Coordinator.
Location: Reston, VA.
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: % Performs member or provider related administrative support which may include benefit verification, authorization creation and management, claims inquiries and case documentation. % Reviews authorization requests for initial determination and/or triages for clinical review and resolution. % Provides general support and coordination services for the department including but not limited to answe...