Billing Solutions LLC Hiring for Remote Utilization Review Specialist at Prescott, AZ Full Time

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

• 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