Utilization Management Coordinator I

Job Description:

Utilization Management Coordinator I

Date Posted: 2025-08-06

Country: United States of America

Location: Florida - Remote

WHY JOIN FCS

At Florida Cancer Specialists & Research Institute, we believe our people are our strength and we invest in them. In addition to having a positive impact on the people and communities we serve, associates benefit from significant professional opportunities, career advancement, training and competitive wages.

Offering competitive salaries and comprehensive benefits packages to include tuition reimbursement, 401-K match, pet and legal insurance.

A LITTLE BIT ABOUT FCS

Since 1984, Florida Cancer Specialists & Research Institute (FCS) has built a national reputation for excellence. With over 250 physicians, 220 nurse practitioners and physician assistants, and nearly 100 locations in our network. Utilizing innovative clinical research, cutting-edge technologies, and advanced treatments, we are committed to providing world-class cancer care. We are recognized by the American Society of Clinical Oncology (ASCO) with a national Clinical Trials Participation Award. FCS offers patients access to more clinical trials than any private oncology practice in Florida. Our patients have access to ground-breaking therapies and may participate in national clinical research studies. In the past five years, the majority of new cancer drugs approved for use in the U.S. were studied in clinical trials with FCS participation prior to approval.

Through our partnership with Sarah Cannon, we are one of the largest clinical research organizations in the United States. Often, FCS leads the nation in initiating research studies and offering ground-breaking new therapies to patients.

RESPONSIBILITIES

• Act as a liaison between the financial counselors and business office staff and to provide support and leadership to the Intake Department.

• Works closely with management team in business office to ensure all internal and external customer service issues are addressed.

• Obtain authorizations for all internal services from patient’s PCP and/or managed care companies.

• Verify Medicaid patient eligibility status for established patients.

• Obtain authorizations for Medipass patients.

• Review daily schedules for potential pitfalls of unusual patient insurance coverage limitations or restrictions.

• Enter all notes and/or insurance changes into the OncoEMR system.

QUALIFICATIONS

• At least one year of experience doing insurance verification, billing, and collections in a medical office or hospital setting is required.

• Must have excellent interpersonal and communication skills, be very detail-oriented and a self-starter.

SCREENINGS – Background, drug, and nicotine screens

Offers of employment at Florida Cancer Specialists & Research Institute are contingent upon clear results of a thorough background screening. As a condition of employment, FCS requires all new hires to receive various vaccinations, including the influenza vaccine, barring an approved exemption. FCS is a drug-free workplace, and all new hires will be subject to drug/ nicotine testing. Medical Marijuana cards are not recognized.

EEOC

Florida Cancer Specialists & Research Institute is committed to helping individuals with disabilities participate in the workforce and ensure equal opportunity to compete for jobs. FCS is an EEO/Affirmative Action Employer and does not discriminate on the basis of age, race, color, religion, gender, sexual orientation, gender identity, gender expression, national origin, protected veteran status, disability or any other legally protected status.

Welcome:

At FCS, we believe the diversity, talent, skills and expertise of our people are our greatest assets, and we strive to provide a workplace where team members can thrive and grow.

About Us:

Florida Cancer Specialists & Research Institute has built a national reputation for excellence. With nearly 100 locations throughout Florida, our team members share a commitment to ensuring that patients have access to world-class cancer care, close to home.

Benefits:

Exciting Benefits for Our Team!

At FCS our mission is to provide top-ranked care to those we serve, and investing in our team is a big part of that commitment. Here’s a brief overview of some of the core benefits we provide for our team members:

- Medical and Prescription Drug Coverage

- Vision & Dental Insurance

- Employee Assistance Program (EAP)

- Health Savings Account (HSA) & Flexible Spending Accounts

- Paid Time Off (PTO)

- 401(k) Retirement Plan

- Life Insurance

- Tuition Reimbursement

- Disability Insurance

- Accident Insurance

- Critical Illness

- Hospital Indemnity

- Pet Insurance

- Identity Theft

- Legal Insurance