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Utilization Assistant
Job
Pathway to Hope Counseling Services, Inc.
Valdosta, GA (In Person)
$29,120 Salary, Full-Time
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Job Description
Company Overview Pathway to Hope Counseling Services, Inc is dedicated to providing high-quality mental health services across multiple counties. Our team comprises qualified therapists, behavior aids, certified addiction counselors, registered nurses, psychologists, and psychiatrists, all committed to making a meaningful difference in our clients' lives. Summary We are seeking a Utilization Assistant that has the ability to effectively handle a fast paced environment and prioritize tasks based on importance. A friendly, positive demeanor with patients and team members. Process Mental Health Assessments and Treatment Plans Request authorizations from payor sources (Medicaid/CMO) Generate graphs/spreadsheets/reports Data entry of units into EHR system Complete and process intake referrals Verify insurance eligibility Ensure that all guidelines and timelines are met for all Medicaid/CMO clients Ensure that all policies that govern our clients are met Data is entered precisely with an attention to detail Process all intake forms for new clients. Must have excellent communication skills due to working closely with referral sources Strong administrative and computer skills with the ability to learn new programs. Problem solving skills. Maintain consumer accounts by obtaining, recording, and updating personal information. Maintain secure and confidential patient files in an EMR database. Contributes to team effort by accomplishing related tasks as needed. We require 3-5 years experience in utilization, Medicaid CMO preferred, must be well versed in Microsoft Office Suite. A basic Excel test will be administered.