Purpose of Position
- The role of the Utilization Review Specialist is to advocate for patient care at substance abuse treatment facilities by obtaining insurance authorizations for all levels of care. This is a full time, fully remote position.
Responsibilities
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- Obtain treatment authorizations from health insurance companies
- Maintain accurate and timely documentation
- Develop collaborative partnership relationships with insurance care managers in order to provide clients with expeditious delivery of service.
- Develop collaborative partnership relationships with health care providers and support staff through frequent communication and interaction.
- Function as a member of the Utilization Review Team to ensure that all daily responsibilities are met.
- Respond to insurance denials through the appeals process when appropriate.
- File retrospective reviews as needed.
- Participate in continuing professional education.
- Perform other duties as assigned or required.
Benefits
- Medical
- Dental
- Vision
- PTO
- 401k after one year of employment
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