UM Specialist

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🔥 24 minutes ago

🐎 Kentucky – Remote

🐎 Kentucky – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

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Seven Counties Services

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1978

🏥 Healthcare

🤝 Non-profit

🌍 Social Impact

💰 $250k Grant - Seven Counties Services on 2023-01

Healthcare • Non-profit • Social Impact

Seven Counties Services is Kentucky’s leading community mental health center and behavioral health services provider serving Bullitt, Henry, Jefferson, Oldham, Shelby, Spencer, and Trimble counties. It provides a broad range of services including adult and child mental health care, crisis stabilization and a 24/7 suicide & crisis lifeline (988), addiction recovery (including recovery housing and prevention), developmental services and waiver supports, supported employment, and primary care integrated into behavioral health. The organization offers specialized programs (e. g. , Transcranial Magnetic Stimulation/TMS, iHope), professional training, community outreach, and accepts funding from federal, state, and local sources.

📋 Description

• 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.

🎯 Requirements

• 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

🏖️ Benefits

• 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