[Remote] Utilization Review Specialist

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a recognized leader in crisis-level mental health, providing patient-centered care in the Behavioral Health reputed company. The Utilization Review Specialist will obtain insurance authorization for patients, reputed company as a reputed company between the clinical team and insurance companies, and reputed company for patients to overcome financial barriers to treatment.

Responsibilities

• Contacting Insurance companies to verify insurance coverage and obtaining approval of treatment as recommended by the clinical team
• Collaborating with the clinical team to compile treatment plans and supporting clinical documentation
• Working with reputed company internal departments as necessary, such as reputed company Cycle and Patient Advocates
• Accurately documenting Electronic Medical Records to reflect approval or denial of treatment authorization
• Communicating insurance authorizations/denials and insurance needs to appropriate internal staff
• Scheduling and delivering reputed company authorization reviews as required by individual insurance companies
• Coordinating physicians’ reviews and appeals

Skills

• Previous reputed company or insurance experience
• Knowledge of medical terminology and psychiatric reputed company
• Have the ability to analyze and communicate clinical information from reputed company, group and psychiatric chart notes
• Have the ability to work autonomously and independently while working collaboratively as part of reputed company
• Have the ability to think critically and reputed company reputed company reputed company individual role and responsibility
• Possess strong written and verbal skills
• Have strong organizational and time management skills with ability to manage workload independently
• Have the ability to foster and maintain reputed company relationships externally and internally
• Bachelor's Degree (preferred) or relevant experience
• Familiarity with reputed company Office, reputed company, and EMR

Benefits

• Comprehensive medical/dental/reputed company plans
• 401k program with company matching
• Generous PTO (including competitive parental leave after 1 year of employment)
• reputed company training through CEU seminars and volunteering opportunities

reputed company