# Utilization Review Coordinator

**Company**: Sedgwick
**Salary**: $18-20.00/hr
**Category**: Healthcare
**Industry**: Insurance

**Apply**: https://sedgwick.wd1.myworkdayjobs.com/en-US/Sedgwick/job/Telecommuter-FL/Utilization-Review-Coordinator_R77683?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply
**Canonical**: https://yubhub.co/jobs/job_515f0f6c-5e5

## Description

By joining Sedgwick, you'll be part of a global organisation that makes a meaningful difference in people's lives.

As a Utilization Review Coordinator, your primary purpose will be to assign utilization review requests, verify and enter data into the appropriate system, and provide general support to clinical staff in a team environment.

**Responsibilities:**

- Access, triage, and assign cases for utilization review (UR)

- Respond to telephone inquiries, providing accurate information and triage as necessary

- Enter demographics and UR information into claims or clinical management systems, maintaining data integrity

- Obtain necessary information required for UR processing from internal and external sources per policies and procedures

- Distribute incoming and outgoing correspondence, faxes, and mail; upload review documents into paperless systems as necessary

- Support other units as needed

**Additional Responsibilities:**

- Perform other duties as assigned

- Support the organisation's quality program(s)

**Requirements:**

- High school diploma or GED required

- Two years of administrative experience or equivalent combination of experience and education required; customer service experience in the medical field preferred

- Workers compensation, disability, and/or liability claims processing experience preferred

**Skills and Knowledge:**

- Knowledge of medical and insurance terminology

- Knowledge of ICD9 and CPT coding

- Excellent oral and written communication, including presentation skills

- PC literacy, including Microsoft Office products

- Analytical and interpretive skills

- Strong organisational skills

- Detail-oriented

- Good interpersonal skills

- Ability to work in a team environment

- Ability to meet or exceed Performance Competencies

**Benefits:**

- Diverse and comprehensive benefits package, including:

- Three medical and two dental plans to choose from

- Tuition reimbursement eligible

- 401K plan that matches 50% on every $ you put in up to the first 6% you save

- 4 weeks PTO in your first full year

**Salary:**

- The range of starting pay for this role is $18-20.00/hr

## Skills

### Required
- medical terminology
- insurance terminology
- ICD9 coding
- CPT coding
- Microsoft Office products
- analytical skills
- organisational skills
- interpersonal skills

### Nice to have
- customer service
- workers compensation
- disability claims processing
- liability claims processing

---

Source: [Apply at sedgwick.wd1.myworkdayjobs.com](https://sedgwick.wd1.myworkdayjobs.com/en-US/Sedgwick/job/Telecommuter-FL/Utilization-Review-Coordinator_R77683?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply)