Utilization Review Specialist (UR Specialist)

THIS IS AN ON SITE POSITION.

United Billing Solutions is a 3rd party billing company located in Palm Springs that handles RCM for behavioral health companies. We are a reputable third party billing company that specializes handling behavioral health companies' RCM around the country. The Utilization Review Specialist is responsible for utilization management for both incoming clients as well as current clients. We are looking experienced candidates who are willing to work hard. - On-site preferred but we are open to hybrid as well

Responsibilities/Qualifications:

1. Complete assessments and pre-certifications 2. Complete utilization, discharge and peer reviews 3. Initiate and resolve appeals 4. Ensure EMR is up to date and accurate in regards to UR 5. Work closely with clinical team to ensure continuity and quality of care for clients 6. Utilize ASAM criteria to identify and advocate for appropriate level of care placement 7. Monitor clinical documentation to insure appropriate, timely and effective provision of services and treatment planning 8. Ensure that all insurance information needed for billing and collection processes are obtained and recorded appropriately in the EMR system 9. Maintain confidentiality pertaining to clients and families. 10. Any other duties as instructed by management. 11. Acquire and maintain all CEU, CPR, trainings, etc. as required by DCF and JCAHO.

Required:

• Bachelor's Degree
• 2 years minimum in the substance abuse and/or mental health industry OON insurance experience
• Extensive knowledge of utilization management and the processes.
• Knowledge of chemical dependency and behaviors.
• Demonstrates proficiency in communication & written skills.

Job Type:

Full-time Pay:

$60,000.00 - $65,000.00 per year

Benefits:

401(k) 401(k) matching Dental insurance Health insurance Life insurance Paid time off Vision insurance Ability to

Commute:

Palm Springs, FL 33461 (Required)

Work Location:

In person