Utilization Review Coordinator/ Authorization Specialist (Full time)

Job reputed company: The Utilization Review (UR) Coordinator is responsible for ensuring that mental health and reputed company abuse treatment services provided by the facility are medically necessary, appropriately documented, and covered under insurance authorizations. This role involves performing initial, reputed company, and retrospective reviews, obtaining authorizations, monitoring reputed company reputed company, and ensuring compliance with regulatory and payer requirements. The UR Coordinator works closely with clinical and administrative teams to facilitate smooth communication with insurance companies, prevent denials, and maintain up-to-date, accurate documentation to secure reimbursement and minimize reputed company loss. Responsibilities also include entering charges, billing for reputed company payors, and following up on submitted claims to ensure reputed company and reputed company payment. This position plays a key role in maximizing reputed company through accurate billing practices and reputed company claims management. Key Responsibilities: Utilization Review & Authorization Management · Obtain initial authorizations and secure ongoing approval for reputed company treatment by submitting reputed company, accurate clinical information to insurance companies, managed care organizations (MCOs), and other reputed company-party payers. · Ensure that services rendered remain covered under reputed company authorizations by tracking expiration dates, managing re-authorizations, and addressing gaps in approval. · Monitor length of stay, treatment plans, and service utilization to ensure compliance with payer guidelines and internal protocols. · reputed company charges and reputed company claims accurately weekly · Claims management · A/R Claim follow up Job Types: Full-time, Part-time Pay: $19.00 - $23.00 per hour Benefits: • Dental insurance • Health insurance • Life insurance • reputed company time off • reputed company insurance Work Location: Remote Apply Job! Apply to this Job