UM Specialist

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🕒 Julho 28

🐎 Kentucky – Remoto

🐎 Kentucky – Remote

⏰ Tempo Integral

🟢 Júnior

🟡 Pleno

🚫👨‍🎓 Sem graduação necessária

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Seven Counties Services

SiteLinkedInTodas as Vagas

1001 - 5000 funcionários

Fundada em 1978

🏥 Saúde

🤝 Sem Fins Lucrativos

🌍 Impacto Social

💰 $250.000 Grant - Seven Counties Services em 2023-01

Healthcare • Non-profit • Social Impact

Seven Counties Services é o principal centro comunitário de saúde mental e fornecedor de serviços de saúde comportamental de Kentucky, atendendo os condados de Bullitt, Henry, Jefferson, Oldham, Shelby, Spencer e Trimble. Oferece uma ampla gama de serviços, incluindo cuidados de saúde mental para adultos e crianças, estabilização de crises e uma linha de ajuda para suicídio e crise disponível 24/7 (988), recuperação de dependências (incluindo moradia e prevenção para recuperação), serviços de desenvolvimento e apoio a isenções, emprego apoiado e cuidados primários integrados à saúde comportamental. A organização oferece programas especializados (por exemplo, Estimulação Magnética Transcraniana/TMS, iHope), treinamento profissional, alcance comunitário e aceita financiamento de fontes federais, estaduais e locais.

Descrição

• Verifies client’s mental health, intellectual disability, and/or substance abuse benefits and obtains initial authorization and subsequent authorizations, as determined by guarantor. • Verifies all commercial and Medicare Advantage plans for agency at intake and all reports related to changes to these guarantors. • Works daily reports to move authorizations through life cycle of authorization from intake to discharge. • Communicates guarantors needs to operations staff. • Pulls necessary information from charts for retro reviews and appeals. • Collaborates and educates operations staff on authorization process and status of their client’s request. • Implements tracking system to obtain future authorizations and any other maintenance needed by guarantor. • Resolves billing problems and/or receives insurance updates.

🎯 Requisitos

• High School diploma: Associate degree preferred. • Two years of administrative experience. • Excellent observation skills, analytical thinking, problem-solving, and good verbal and written communication skills. • Basic knowledge of managed care and reimbursement concepts • Knowledgeable of medical terminology, CPT, HCPC, and revenue codes • Excellent customer service skills

🏖️ Benefícios

• Medical Coverage • Dental Coverage • Vision Coverage • Flexible Spending Account • Health Savings Account • Short Term Disability • Long Term Disability - Company Paid • Competitive Compensation Packages • Life Insurance - Company Paid • Accidental Death & Dismemberment Insurance - Company Paid • 403b Retirement Plan with Company Funded Matching • Retirement and Financial Planning Services • Tuition Assistance Plans • Loan Forgiveness options through federal programs (National Health Service Corps & Public Service Loan Forgiveness) • Student Loan Repayment Assistance • Clinical Supervision toward licensure and reimbursement for certain license applications • company paid professional training for various skills, certifications, and continuing education • Generous PTO for Vacations, Illness, Personal Days, Etc. (10 Paid Holidays) • Flexible Work Schedules to promote a Healthy Work Life Balance • Employee Assistance Program - assists employees with personal problems and/or work-related problems that may impact their job performance, health, mental and emotional well-being