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 – I.

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 limi...
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