Utilization Review Support Specialist - Full-Time
Company: RiverValley Consulting Services, Inc.
Location: Owensboro
Posted on: May 25, 2023
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Job Description:
Utilization Review Support Specialist - Full-Time
RiverValley Behavioral Health - Acumen Counseling Services
Owensboro, KY 42301
JOB SUMMARY: The Utilization Review Support Specialist is
responsible for assuring insurance coverage of clients for
treatment, by obtaining pre-certification and authorizations for
various levels of care from insurance companies (the payers). The
pre-certification and authorizations of coverage are obtained by
demonstrating medical necessity through the presentation of medical
and clinical documentation meeting applicable criteria guidelines.
Collaborate with programs and departments in coordinating the UR
process..
1. Verifies insurance benefits and relays that information to
appropriate parties.
2. Participates in skill enhancement activities.
3. Participants in treatment team meetings when necessary.
4. Provides data and reports to UR supervisor as requested.
5. Provides backup for the UR Specialist or other UR staff as
needed.
6. Fosters collaborative working relationships among members of the
UR team, programs providing UR services for, and management
teams.
7. Other duties as assigned by UR Supervisor.
Minimum Qualifications:
At RiverValley Behavioral Health, Acumen Counseling Services, we
are committed to being an employer of choice in our communities. We
have talented staff who are dedicated to improving our communities
by empowering people to become the best versions of themselves.
At RiverValley, we aspire to meet the needs of every patient we
encounter. We are passionate about extending a hand to those in
need of behavioral health services. Explore below to see how a
career with RiverValley Consulting Services can bring you
professional and personal fulfillment.
We Offer:
--- Competitive Pay based on experience
--- Comprehensive benefits package including health insurance,
dental, vision, long-term disability, and Teledoc.
--- Employer-paid life insurance and long-term disability
--- Paid Vacation & Sick leave
--- 9 Paid Holidays
--- Retirement Planning
--- Mileage Reimbursement for work-related driving
--- Tuition reimbursement program
--- Career development and growth opportunities
--- Employee Assistance Program
--- Employment Referral Program
Benefits:
Full-time employees are eligible for: Medical Insurance, Dental
Insurance, Vision Insurance, and Long-term Disability
Part-time employees (0.6 and above) and Full-time employees are
eligible for: Life Insurance, Paid Vacation, Paid Sick Days, Paid
Holidays, and 403. Location ID - Cigar Factory Complex
Relocation is not provided and travel is not required.
Eligible for Overtime: YES
Eligible for Shift Differential: NO
Screening Requirements: Motor Vehicle, Drug Screen, and Criminal
Background Check
Additional Information: EOE/M/F/VET/Disab
Keywords: RiverValley Consulting Services, Inc., Owensboro , Utilization Review Support Specialist - Full-Time, Other , Owensboro, Kentucky
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