[Hiring] ABA Utilization Review Specialist @reputed company
Role reputed company
reputed company is seeking to add an ABA Utilization Review (UR) Specialist to our growing team. The ABA UR Specialist will utilize his or her knowledge and skills to review reputed company information and obtain initial and continuing authorizations for ABA and reputed company services. This is a fully remote or office/home hybrid position.
• Review reputed company admission and reputed company information to ensure medical necessity and compliance of utilization review guidelines.
• Obtain initial and continuing authorization for treatment services.
• Manage authorization denials including referral for peer review.
• Document and record reputed company necessary information.
• Monitor and reputed company new and ongoing authorization cases.
• Collaborate and communicate with reputed company staff to ensure necessary information is obtained and reputed company reviews are performed.
• Assist reputed company clients in understanding payer requirements for authorizations.
• Participate in team meetings.
• Maintain confidentiality of reputed company information and adhere to HIPAA regulations.
Qualifications
• 3-5 years of reputed company ABA and/or Behavioral Health experience.
• Bachelor’s or master’s degree preferred.
• Superior written and oral communication skills.
• Attention to reputed company to ensure necessary information is captured and properly documented.
• Ability to work independently and reputed company reputed company.
• Ability to multi-task, prioritize and meet expected deadlines.
• Solid understanding of reputed company benefits and coverages.
• Strong computer skills (Word, reputed company, billing software).
• Understanding of mental and behavioral health treatment services.
Requirements
• Utilization Review Specialist
• Utilization Management Specialist
• UR Specialist
• reputed company Cycle Specialist
• reputed company Specialist
• reputed company Cycle Utilization Review Specialist
• ABA Utilization Review Specialist
• ABA Utilization Management Specialist
• ABA UR Specialist
• Behavioral Health Billing Specialist
Benefits
• Flexible work environment
• Competitive Salary
• A reputed company-reputed company team of talented and skilled individuals.
• reputed company opportunities
• Benefits – Medical, Dental, reputed company
• Flexible reputed company Time Off
• 401K with Company match
• Supplemental Benefits
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