#23701 Medical Management Coordinator-w2 Only

nTech Workforce has an #23701 Medical Management Coordinator Terms of EmploymentW2 Contract, 6 MonthsHybrid: 1–2 days on-site per week; regular weekly in-office presence required)Work Hours: Full-time, 40 hours/week (Core hours: 8:00 AM – 5:00 PM)

Do not wait to apply after reading this description a high application volume is expected for this opportunity.
OverviewClient is seeking detail-oriented Medical Management Coordinators to join a leading healthcare organization’s Clinical Appeals and Analysis Unit (CAU) in Canton. This role provides non-clinical operational and administrative support to streamline clinical appeals, case processing, and documentation. Working alongside a dedicated team of clinical analysts and nurses, you will play a crucial role in managing case entries, generating overturn notices, processing medical records requests, and managing physical mailings.
Key ResponsibilitiesPrepare, manually print, and package full-on fair appeal cases and letters for shipment through the on-site mailroom via FedEx.Assist with creating shell cases and entering case details into internal systems based on unit needs.Review and determine if medical records are required for specific appeal cases and facilitate request fulfillment.Draft, review, and print standardized overturn notices and related case documentation.Perform initial triaging of incoming documentation to verify appropriateness for clinical appeals processing.Utilize core healthcare administration platforms (GuidingCare and Facets) to navigate patient and claim details.Collaborate with clinical analysts and supervisor team members to maintain workflow efficiency during core business hours.
Required Skills & Experience2+ years of administrative or operational experience within a healthcare, managed care, or health insurance environment.Demonstrated experience navigating healthcare system platforms, specifically GuidingCare (Legacy or G6) and Facets.Familiarity with healthcare claims, clinical appeals, or Utilization Management (UM) processes.Practical knowledge or exposure to medical coding conventions, including CPT and ICD (ICD-9 / ICD-10) terminology.Local residency near the Canton location with full availability to work on-site 1–2 days per week as scheduled.Preferred Skills & ExperiencePrevious experience in a medical billing, claims processing, or provider office setting.Familiarity with NASCO, Lotus Notes, or Explanation of Benefits (EOB) lookup systems.Prior experience handling confidential medical records, overturn notices, or legal appeal document packaging.
Benefits InformationMedical Insurance; Vision Insurance; Dental Insurance401K Retirement Plan (Discretionary Match Offered)Ancillary Coverage (Life, AD&D, Short Term / Long Term Disability)Employee Referral BonusBi-Weekly Direct Deposit
Note: As a contingent worker with nTech, you'll be paid for all approved hours worked; paid time off and paid holidays are not provided.
nTech is an equal opportunity employer. All offers of employment are contingent upon pre-employment drug and background screenings. xzbcwsv Only candidates who meet all of the above client requirements will be contacted by a recruiter.