Utilization Management Coordinator
- Remote, worldwide
- Full-time
- Entry-level
- Posted yesterday
or apply from Claude / ChatGPT / Muse
Phone and back-office role handling prior authorizations for providers and members, remote with 8-hour shifts that include one weekend day.
About the role
Part of an utilization management team, reporting to a supervisor and cross-trained across several lines of business. Good work means accurate records, cases processed on time and steady service levels.
At a glance
- Pay
- Not stated in the posting
- Remote scope
- Remote, worldwide
- Seniority
- Entry-level
- Employment
- Full-time
- Working hours
- Shifts end by 7:00 PM CST or 8:00 PM EST
- Skills
- Microsoft Office, Medical Terminology, ICD-10, Utilization Review, Prior Authorization
- Posted
- 28 Oct 2026
- Last checked
- 28 Oct 2026
What you will do
- Take inbound and outbound calls on prior authorizations, benefits and utilization services, about 30 to 50 a day on phone duty
- Review authorization requests and paperwork, research the details and support medical necessity decisions
- Handle back-office work: case research, record updates, fixing errors and processing cases on time
- Enter and check data across several systems, log every interaction and keep assigned work queues within service levels
What they look for
- At least 2 years in customer service
- Experience handling a high volume of calls, roughly 30 to 50 daily, across multiple systems at once
- Typing at 30 words per minute or faster
- Comfortable using Microsoft Office, including menus, toolbars and finding documents
- A wired internet connection and a private workspace with a closed door for webcam meetings
Nice to have
- Customer service in healthcare, insurance or health services
- Prior authorization or utilization review work in managed care
- Electronic medical record and documentation software
- Medical terminology and ICD-10 codes
A typical week
- Calls with providers and members mixed with case research and data entry
- Work queues monitored against turnaround and service level targets
- One weekend day plus a holiday rotation
- Assigned breaks and meal periods to keep staffing steady
How Keywordise applies for you
Alex Demo
[email protected]
From your CV
Yes, fully remote
- Sent
- 09:41
- Attached
- Your tailored CV
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- 2Tailored to this jobKeywordise writes a CV and a cover letter for this job from your real experience.
- 3The form fills itselfName, email, experience and screening questions, field by field.
- 4Application sentYou get a receipt and follow it in your dashboard.
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Connect Keywordise to your assistant once, then send it the prompt. It applies for you.
Claude
- In Claude, open Settings, then Connectors, and choose Add custom connector.
- Name it Keywordise and paste the connector URL.
- Click Connect, log in to Keywordise and approve. Then send the prompt in a new chat.
https://keywordise.com/mcpDisconnect any time in your Keywordise settings.
ChatGPT
- In ChatGPT, open Settings, then Connectors. On plans that need it, turn on developer mode first.
- Add a new connector with the connector URL and choose OAuth. Leave the client ID and secret empty.
- Log in to Keywordise and approve. Then send the prompt in a new chat.
https://keywordise.com/mcpDisconnect any time in your Keywordise settings.
Muse
- Open Muse (muse.ai or the app) and send it the message below.
- If Muse asks how to sign in, answer OAuth. Open the sign-in link it sends, log in to Keywordise and approve.
- Send the prompt. Muse asks before it sends anything.
Add a custom connector called Keywordise. It is a remote MCP server at https://keywordise.com/mcp and uses OAuth. Give me the sign-in link.Muse is available in the US only for now.
Apply to Keywordise job uj6pysjsasQuestions about this job
Is this a remote job, and where can I work from?
Yes, it is listed as remote, and the posting does not tie it to one country. On hours, the posting says: Shifts end by 7:00 PM CST or 8:00 PM EST.
What does this job pay?
The posting does not state a salary, so there is no figure to quote.
What experience is needed?
It is an entry-level role. The posting asks for: at least 2 years in customer service; experience handling a high volume of calls, roughly 30 to 50 daily, across multiple systems at once; typing at 30 words per minute or faster. Skills it names include Microsoft Office, Medical Terminology, ICD-10, Utilization Review.
How do I apply with Keywordise AI?
Select Apply with Keywordise AI, sign up and upload your CV. Keywordise writes a CV and a cover letter for this job from your real experience and applies for you. The 7-day free trial needs no card.
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