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Utilization Management Coordinator
HonorHealthUtilization Management Coordinator supporting payer approvals, denials, and clinical documentation. HonorHealth operates nonprofit hospitals and care centers serving Arizona communities.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in Utilization Management functions, including workflow organization, payer communications, and clinical documentation within EMR/EPIC systems. Proficient in managing administrative tasks in a healthcare environment while ensuring compliance with medical insurance and authorization requirements.
Highest-signal resume keywords
Utilization ManagementEMR/EPIC DocumentationPayer CommunicationsClerical Support ExperienceHealthcare Administrative Support
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Workflow OrganizationClinical ReviewReport CreationAuthorization ManagementMedical Insurance KnowledgeCase ManagementBilling WorkflowsDocumentation InterpretationRevenue OptimizationPayer Fax Handling
Soft Skills
CommunicationOrganizationPrioritizationCollaborationProblem-Solving
Certifications & Qualifications
High School DiplomaGEDAssociate's Degree
Industry Keywords
HealthcareUtilization ManagementClinical DocumentationPayer RelationsCare Coordination
About the role
Key responsibilities & impact- Assist with administration of Utilization Management functions, including workflow organization, communications, information interpretation, tracking follow-up, research, and report creation
- Support UM operations and payer communications to obtain admission approvals through clinical review and appeal processes
- Support Care Coordination communications with payers through efficient workflow processes
- Monitor and process inbound payer faxes, including renaming, uploading approvals, bed days, and denials
- Ensure approvals align with current patient class and escalate discrepancies or conflicting payer communications
- Document EMR/EPIC authorization, certification, communications, and clinical data appropriately
- Collaborate with UM nurses and payers regarding clinical documentation and authorization requirements
- Initiate concurrent denial documentation and coordinate physician advisor peer-to-peer reviews
- Perform clerical and revenue-optimizing activities, work assigned work queues, and meet productivity standards
- Follow up with payers on fax failures, deferred accounts, and additional approved days
- Communicate coverage, admission notification, patient-call, and operational issues to appropriate teams or leadership
- Perform reports, research, meeting scribe duties, new-hire onboarding, and other assigned duties
Requirements
What you’ll need- High School Diploma or GED - Required
- Associate's Degree - Preferred
- 1 year clerical support experience - Required
- 1 year administrative support experience in a healthcare field - Preferred
- Knowledge of utilization management, case management, medical insurance, medical office, hospital business office, preservices, admitting, registration, billing, or collections workflows
- Ability to organize and prioritize workflow and manage assigned work queues
- Ability to interpret critical information and track follow-up
- Ability to communicate with internal departments, external payers, UM nurses, Care Coordination teams, and leadership
- Ability to document appropriately in EMR/EPIC
- Ability to handle payer faxes and meet payer clinical documentation requirements
Benefits
Comp & perks- 🌐 Worldwide ❌ Jobs You've Hidden ⭐️ Saved Jobs ✅ Applied Jobs ✉️ Email Alerts 👤 Account HonorHealth Website LinkedIn All Job Openings 10,000+ employees Founded 2013 🏥 Healthcare 📚 Education Healthcare
- Education HonorHealth is an integrated healthcare organization that offers hospital and outpatient medical services, primary care, urgent care, telehealth (E-Visits), and patient-facing digital tools like MyChart. The organization also operates a research institute, offers academic programs (residencies, fellowships, CME, medical student resources), maintains a foundation and volunteer/community programs, and provides patient resources such as billing, price transparency, and online appointment scheduling. HonorHealth positions itself as a community-focused health system delivering clinical care, education, and research. Utilization Management Coordinator 🔥 1 minute ago 🌵 Arizona – Remote ⏱ Part Time 🟢 Junior 🚫👨🎓 No degree required Apply Now Customize resume + cover letter Report problem ☆ Save ☑️ Mark as applied ❌ Hide 📋 Description
- Assist with administration of Utilization Management functions, including workflow organization, communications, information interpretation, tracking follow-up, research, and report creation
- Support UM operations and payer communications to obtain admission approvals through clinical review and appeal processes
- Support Care Coordination communications with payers through efficient workflow processes
- Monitor and process inbound payer faxes, including renaming, uploading approvals, bed days, and denials
- Ensure approvals align with current patient class and escalate discrepancies or conflicting payer communications
- Document EMR/EPIC authorization, certification, communications, and clinical data appropriately
- Collaborate with UM nurses and payers regarding clinical documentation and authorization requirements
- Initiate concurrent denial documentation and coordinate physician advisor peer-to-peer reviews
- Perform clerical and revenue-optimizing activities, work assigned work queues, and meet productivity standards
- Follow up with payers on fax failures, deferred accounts, and additional approved days
- Communicate coverage, admission notification, patient-call, and operational issues to appropriate teams or leadership
- Perform reports, research, meeting scribe duties, new-hire onboarding, and other assigned duties 🎯 Requirements
- High School Diploma or GED - Required
- Associate's Degree - Preferred
- 1 year clerical support experience - Required
- 1 year administrative support experience in a healthcare field - Preferred
- Knowledge of utilization management, case management, medical insurance, medical office, hospital business office, preservices, admitting, registration, billing, or collections workflows
- Ability to organize and prioritize workflow and manage assigned work queues
- Ability to interpret critical information and track follow-up
- Ability to communicate with internal departments, external payers, UM nurses, Care Coordination teams, and leadership
- Ability to document appropriately in EMR/EPIC
- Ability to handle payer faxes and meet payer clinical documentation requirements Apply Now 📊 Check your resume score for this job Improve your chances of getting an interview by checking your resume score before you apply. Check Resume Score Similar Jobs Cataloger 🔥 11 hours ago Library Systems & Services, LLC 1001 - 5000 🤝 B2B 📚 Education 🏢 Enterprise Website LinkedIn All Job Openings Cataloger delivering PCC-level catalog records for a major federal library project. Classifying materials, assigning LCSH headings, and maintaining NACO authority records remotely. 🇺🇸 United States – Remote 💵 $9 / hour ⏱ Part Time 🟢 Junior 🟡 Mid-level Special Education Paraprofessional, Part-Time 🔥 20 hours ago Stride, Inc. 5001 - 10000 💼 Consulting 🏥 Healthcare 📚 Education Website LinkedIn All Job Openings Part-time paraprofessional supporting special-needs students for Stride’s online K–12 education programs. Assisting instruction, IEP implementation, assessments, communication, and student progress tracking. 🇺🇸 United States – Remote 💵 $15 / hour ⏱ Part Time 🟢 Junior 🚫👨🎓 No degree required Stylist 🕒 4 days ago Stitch Fix 5001 - 10000 📣 Marketing 📦 Logistics 💼 Consulting Website LinkedIn All Job Openings Remote part-time Stylist creating personalized fashion experiences for Stitch Fix clients. Using styling expertise, digital tools, and AI-enabled features to build client relationships and retention. 🇺🇸 United States – Remote 💵 $16 / hour 💰 $36.9M Venture Round on 2017-11 ⏱ Part Time 🟢 Junior 🟡 Mid-level 🚫👨🎓 No degree required 🦅 H1B Visa Sponsor Wildlife Biologist – Field Focused 🕒 4 days ago AECOM 10,000+ employees 💼 Consulting 🏥 Healthcare 📦 Logistics Website LinkedIn All Job Openings Field Wildlife Biologist conducting California wildlife, aquatic-resource, and construction-compliance surveys for AECOM broadband infrastructure projects. Supporting environmental permitting and contractor training across the Central Valley. 🇺🇸 United States – Remote 💵 $33 - $40 / hour ⏱ Part Time 🟢 Junior 🟡 Mid-level 🦅 H1B Visa Sponsor Wildlife Biologist – Field Focused 🕒 4 days ago AECOM 10,000+ employees 💼 Consulting 🏥 Healthcare 📦 Logistics Website LinkedIn All Job Openings Field Wildlife Biologist conducting biological surveys and construction monitoring for AECOM’s California broadband infrastructure projects. Supporting environmental compliance across the Central Valley. 🇺🇸 United States – Remote 💵 $33 - $40 / hour ⏱ Part Time 🟢 Junior 🟡 Mid-level 🦅 H1B Visa Sponsor 🌐 Worldwide Built by Lior Neu-ner. I'd love to hear your feedback — Get in touch via DM or support@remoterocketship.com Search Search Jobs by country Search jobs by city Search jobs by job title Search entry-level jobs Search junior-level jobs Search senior-level jobs Search jobs by tech stack Search jobs by contract type Search remote internships Search remote part-time jobs Remote jobs Anywhere in the World Companies Hiring Anywhere in the World Companies Hiring Sales People Anywhere in the World Companies Hiring Software Engineers Anywhere in the World Resources Advice Tips for finding remote jobs Interview questions and answers Resume examples Cover letter examples Post a job Affiliates About us Is Remote Rocketship legit? Privacy policy Terms of service Job board SEO course Remote Job Search MasterClass AI Apply Copilot OpenClaw job finder Find jobs using your resume Jobs by Country Remote jobs anywhere in the world (Worldwide remote jobs) Remote jobs United States Remote jobs Australia Remote jobs Brazil Remote jobs Canada Remote jobs France Remote jobs Ireland Remote jobs Germany Remote jobs Netherlands Remote jobs Spain Remote jobs UK Popular Jobs Remote data analyst jobs Remote customer support jobs Remote executive assistant jobs Remote marketing jobs Remote product designer jobs Remote product manager jobs Remote project manager jobs Remote recruiter jobs Remote sales jobs Remote software engineer jobs Jobs by Type Remote full-time jobs Remote part-time jobs Remote contract jobs Remote internship jobs Remote entry-level jobs Remote jobs with no experience required Remote junior jobs (1-3 years of experience) Digital nomad jobs Remote jobs with no degree required Freelance remote jobs Temporary remote jobs Remote jobs hiring now Stay at home mom jobs