Our client is a growing and innovative organization focused on providing life-changing mental health and substance use treatment. They are committed to supporting recovery and giving individuals a second chance at life.
Job Description
This role involves managing utilization reviews to ensure patients receive the necessary authorizations for timely care. It is a fast-paced, high-impact position requiring strong attention to detail and a proactive approach to overcoming challenges.
Key Responsibilities
Conduct multiple inbound and outbound calls daily to secure patient authorizations.
Accurately document case details and maintain compliance with all regulations.
Work closely with internal teams to streamline care authorization processes.
Achieve high approval rates for initial care and support concurrent reviews for extended stays.
Handle complex claims and single-case agreements with insurance payers.
Qualifications
Required:
At least 1 year of experience in behavioral health, particularly with utilization review.
Proficiency in managing complex claims and working with insurance payers.
Strong knowledge of psychiatric and substance use disorder terminology.
Preferred:
Familiarity with Alleva EHR and Google tech tools.
Experience with out-of-network behavioral health providers.
Personal Attributes:
Tenacious, tech-savvy, and adaptable to fast-paced work environments.
Curious and excited to learn new systems and processes.
Additional Details
Hours: Primarily 8 AM - 5 PM with flexibility as needed.
Contract Length: Minimum 4 weeks with a goal of 90 days. May transition to a permanent role based on performance.
Start Date: 12/2/2024
Dress Code: Business casual.
Location Perks: Free onsite parking for hybrid schedules.
Perks
Opportunity to work with a purpose-driven team focused on changing lives.
Training and support from experienced leaders in behavioral health.
Hybrid flexibility for local candidates, with remote options available.
Potential for a long-term career path with competitive pay.