Job Description
Position Overview
We are seeking a detail-oriented and experienced Utilization Coordinator to manage the insurance prior authorization process on a part-time, remote basis. This role is focused exclusively on authorization requests submitted via fax and payer portals — from initial clinical documentation gathering through submission, status tracking, and resolution.
The Utilization Coordinator works at the intersection of clinical operations and insurance compliance. They are responsible for ensuring that authorization requests are submitted accurately, on time, and with the right clinical documentation — and for following the authorization through to approval, denial, or peer-to-peer review. This is a deadline-driven, detail-intensive role that requires someone who is organized, persistent, and familiar with the payer authorization landscape.
Key Responsibilities
Authorization Request Submission