Healthcare Utilization Review Coordinator

Cobalt Benefits Group, LLC (DBA: Blue Benefit Administrators, CBA Blue & EBPA)

. Manage the initial intake and data entry of clinical information required for utilization review processes .

Posted 9/22/2026full-timeUnited StatesJunior💰 $20 - $22 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in managing clinical information for utilization review processes, including data entry, authorization requests, and adherence to standard operating procedures. Proficient in communication, critical thinking, and problem-solving within a healthcare environment.

Highest-signal resume keywords

Utilization Review ProcessesData EntryMS Office SuiteCritical ThinkingProfessional Communication

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Data EntryUtilization Review ProcessesClinical Information ManagementAuthorization RequestsDocument Retrieval

Soft Skills

Critical ThinkingProblem-SolvingInitiativeIndependenceReading Comprehension

Tools & Technologies

MS Office (Word, Excel, Outlook)Internet Applications

Industry Keywords

HealthcarePatient Information VerificationStandard Operating ProceduresMember BenefitsUtilization Review

About the role

Key responsibilities & impact

Manage the initial intake and data entry of clinical information required for utilization review processes
Verify patient information
Prepare and submit authorization requests to nursing staff or external UR vendor AHH
Support daily Utilization Review department operations and assist the Lead Utilization Review Intake Coordinator
Enter clinical and intake information into the appropriate platform and route it to the appropriate vendor
Maintain current knowledge of utilization review processes and timelines
Conduct outreach calls, collect data according to scripts, tools, and protocols, and meet productivity and performance expectations
Process incoming and outgoing correspondence and faxes according to standards and timeliness guidelines
Refer cases to appropriate staff and clinical team members according to workflow
Perform urgent scanning, document retrieval, and other clerical responsibilities routed to Utilization Review
Communicate professionally and accurately regarding agreed-upon resolutions
Adhere to standard operating procedures and maintain knowledge of member benefits, rights, and responsibilities
Interpret plan language and apply it to intake tasks
Perform other related duties and projects as assigned

Requirements

What you’ll need

High school diploma or equivalent required
Minimum of 1-2 years of experience in healthcare field
Fluent computer skills including MS Office (Word, Excel, and Outlook) and Internet applications
Strong reading comprehension
Initiative and independence in task ownership
Critical thinking and sound judgment for decision-making
Clear, professional communication and problem-solving skills
Regular, reliable attendance during assigned work hours
Attentive and actively engaged during scheduled shifts

Benefits

Comp & perks

Website LinkedIn All Job Openings 51 - 200 employees 💼 Consulting ⚖️ Legal 🛡️ Insurance Consulting
Legal
Insurance Cobalt Benefits Group, LLC (DBA: Blue Benefit Administrators, CBA Blue & EBPA) is a full service Third Party Administrator (TPA) that specializes in the customization, marketing, and operation of self-funded employee benefit plans. With over 30 years of experience and a team of over 195 employees, CBG provides a wide array of products and services including self-funded medical and dental plans, Flexible Spending Accounts, Health Reimbursement Arrangements, and COBRA management. CBG aims to assist employers in building custom benefit plans while managing costs and ensuring compliance with regulations.