Job Description:
Fully remote utilization-management intake coordinator at Evolent processing prior authorization requests. High school diploma plus about 1-3 years of coordinator or claims/appeals experience. Pays $20/hour. Pacific schedule with weekends.
About the Role
Evolent is hiring a remote Coordinator, UM Intake to process prior authorization requests from fax, email, and provider portals, enter cases for clinical review, and work with physician offices to obtain missing information.
What You Will Do
- Review workflows to determine whether requests need prior authorization
- Enter data into proprietary systems to generate medical and behavioral health review cases
- Work with physician offices to obtain missing information
- Submit and track IT tickets that block case generation
- Meet Utilization Management Intake objectives and key results
What You Need
- High school diploma or GED
- 1-3 years as a coordinator submitting or requesting prior authorizations, or relevant claims/appeals experience
- Fluent English with patients and providers; strong computer and keyboard skills
- Ability to work remotely on a 9:30 AM-6:00 PM Pacific schedule with rotating weekends and holidays
- Home internet over 10 Mbps with the ability to plug directly into the router
Location & Pay
Work at home / remote. Schedule 9:30 AM-6:00 PM Pacific with rotating weekends and holidays. Expected wage $20.00/hour. Posted about 2026-09-30; canApply=true at verification.