Utilization Management Coordinator

Lumen Solutions Group Inc

Washington, DC(remote)

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JOB DETAILS

JOB TYPE

Full-time

SKILLS

Blueprints, Business Processes, Business Strategy, Consulting, Customer Support/Service, Data Entry, Data Processing, Detail Oriented, Documentation, Enterprise Architecture, Establish Priorities, Fax Machines, Healthcare, Information Technology & Information Systems, Information Technology Consulting, Maintain Compliance, Medical Terminology, Operational Support, Organizational Skills, Patient Care Authorizations, Professional Services, Technical Recruiting, Technical Support, Time Management, Utilization Management, Work From Home

LOCATION

Washington, DC

POSTED

1 day ago

Company Description Lumen Solutions Group Inc. is a technology consulting Services company based in Florida. We provide a wide array of experienced business and IT professionals supporting clients from solution design to implementation and support. We specialize in professional IT consulting services, IT Staffing, Business/IT Strategy, Business Process Blueprints, Enterprise Architecture, and Enterprise Transformation. Role: Utilization Management Coordinator Location: Remote Job Type: Contract Job Summary: We are seeking a highly detail-oriented Utilization Management Coordinator with experience in Prior Authorization (PA) processing to support healthcare operations in a fast-paced remote environment. This role is primarily focused on high-volume fax processing, authorization data entry, and ensuring accurate documentation within utilization management systems. The ideal candidate will have a strong healthcare background, solid understanding of medical terminology, and the ability to maintain productivity standards while handling sensitive healthcare information with accuracy and efficiency. Candidates with experience using GuidingCare and Facets platforms will be highly preferred and prioritized by the hiring team. This is not a call-center or customer-service-focused role; instead, it requires individuals who are organized, process-driven, and comfortable managing repetitive authorization workflows while meeting daily processing expectations. Key Responsibilities • Process Prior Authorization (PA) requests accurately and efficiently. • Handle high-volume fax processing workflows. • Enter and review authorization information within healthcare systems. • Maintain productivity expectations of at least 40+ faxes processed daily. • Ensure accuracy, compliance, and timely turnaround of documentation. Required Skills & Qualifications • 1+ year of Prior Authorization (PA) entry & processing experience. • Healthcare industry background. • Strong medical terminology knowledge. • Excellent attention to detail and organizational skills. • Experience working in fast-paced fax-processing environments. • GuidingCare experience (Preferred). • Facets experience for eligibility verification(Preferred). Lumen Solutions Group Inc is an equal opportunity employer. All qualified applicants will be considered for employment without regard to any legally protected status.

About the Company

Lumen Solutions Group Inc

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