Utilization Intake Review Coordinator at Cobalt Benefits Group LLC

South Burlington, Vermont, United States -

Full Time

Start Date

Immediate

Expiry Date

21 May, 26

Salary

22.0

Posted On

20 Feb, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Data Entry, Authorization Information, Clinical Information Organization, Communication, Coverage Determination Letters, Electronic Medical Records, Computer Skills, Detail Oriented, Self-Sufficient, Decisive, Organizational Skills, Prioritization

Industry

Insurance

Description

Description Join our team at Cobalt Benefits Group and start an exciting new career in employee benefits solutions. As a Utilization Intake Review Coordinator you’ll play an important role in helping us offer customized, self-funded insurance options to our clients and members. The Utilization Intake Review Coordinator will be responsible for assisting the Utilization team with administrative responsibilities related to various stages of the Company’s standard medical review practices. Responsibilities: Performs data entry of authorization information (per policy/procedure) into web-based system as received through telephone calls, voice mail messages and emails. Gathers and organizes clinical information for review. Communicates authorization request status to the providers as per policy and procedure. Writes coverage determination letters. Works with computer/electronic medical records daily. Performs other duties as assigned. Requirements High School Diploma or equivalent. Demonstrate a proficiency in computer skills – Windows, Word, Excel, Outlook, clinical platforms, internet searches. Knowledge of ICD 10 codes, CPT codes and medical terminology a bonus. Detail oriented, self-sufficient, and decisive. Excellent organizational and communication skills. Ability to be flexible and work in a fast-paced office environment. Ability to prioritize a high volume of work. Medical office or hospital experience preferred but not required. Benefits: After successfully completing a waiting period, eligible Full-time employees have access to our comprehensive benefits package, including: Fantastic medical, dental, and vision insurance* Twice annual employer HSA contributions, covering 50% of the HDHP plan’s annual deductible! Company provided Basic Life and AD&D Company paid Short-Term and Long-Term Disability** Flexible Spending Accounts* 401(k) Retirement Plan with up to a 6% employer-match** WOW! (100% fully vested after 3 years) 10+ paid holidays Generous paid vacation and sick time Annual Volunteer Paid Day Annual Tuition Reimbursement Annual Health and Wellness Reimbursement Lots of fun company events Who We are: As a trusted third-party administrator (TPA) specializing in self-funded benefit plans, Cobalt Benefits Group (CBG) is committed to helping employers find high-quality coverage at a cost they can afford. We administer self-funded insurance benefits through our three companies: EBPA, Blue Benefit Administrators of Massachusetts, and CBA Blue. With over 30 years of experience and a dedicated team of more than 200 employees, we work collaboratively to build customized self-funded health plans, manage claim payments and disputes, and administer other specialized programs such as FSAs, HSAs, COBRA, and retiree billing. Join us as we match employers across our region with the right solutions for their employee benefit needs. To learn more about working at CBG, visit https://www.cobaltbenefitsgroup.com/careers/. Benefit Waiting Period Notes: *60 day waiting period **90 day waiting period

Responsibilities

The Utilization Intake Review Coordinator assists the Utilization team with administrative tasks related to standard medical review practices, primarily involving data entry of authorization information into a web-based system based on received communications. This role also includes gathering clinical information, communicating authorization status to providers, and writing coverage determination letters.