UR Specialist Position Available In Fayette, Georgia
Tallo's Job Summary: The UR Specialist position at Compass Revenue Solutions in Peachtree City, GA involves completing medical necessity reviews with payers, documenting outcomes, and communicating internally. Requirements include a high school diploma, excellent time management, and conflict resolution skills. Preferred qualifications include experience in the behavioral health/medical field and computer literacy. Benefits include medical, dental, vision, life insurance, and 401k match.
Job Description
UR Specialist Compass Revenue Solutions 100 Governors Trace, Peachtree City, GA 30269
Description:
Position Summary:
A Utilization Review Specialist’s responsibilities include but are not limited to completing all medical necessity reviews with payer on the facility’s behalf and documenting outcomes in the facility’s EMR (Alleva/KIPU), While communicating to our own team at CRS internally in Monday. In addition, the best candidate for this position will be experienced in behavioral health commercial payer medical necessity criteria. A Utilization Review Specialist will follow the company’s process for requesting authorization from insurance providers. A Utilization Review Specialist will also be responsible for following up on all pending/outstanding dates of service with no authorization.
Requirements:
Minimum Requirements:
High School Diploma Excellent time management skills Strong written/verbal communication Conflict resolution skills Willingness to investigate and do research Strong focus on detail and accurate oral/written reporting Open-mindedness to training and feedback
Preferred Requirements:
Previous experience in the behavioral health/medical field Computer literacy and ability to learn new systems
Benefits Include:
Medical, Dental, Vision, Life Employee Assistance Program 401k Match Paid-Time Off Sick Time Holiday Pay
