UM Specialist

🕒 September 10

🐎 Kentucky – Remote

🐎 Kentucky – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

👻 Ghost score 38%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Seven Counties Services

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

🏥 Healthcare

⚕️ Healthcare Insurance

🤝 Non-profit

Healthcare • Healthcare Insurance • Non-profit

Seven Counties Services is a leading Community Mental Health Center and behavioral health services provider in Kentucky, serving individuals and families across Bullitt, Henry, Jefferson, Oldham, Shelby, Spencer, and Trimble counties. They offer a wide range of services including mental health support, addiction recovery programs, developmental services, and crisis stabilization. The organization is committed to providing quality care and health services, ensuring a positive approach tailored to individual needs, regardless of background or financial status. Additionally, Seven Counties Services emphasizes equity, diversity, and inclusion in their programs and initiatives, continually striving to improve the lives of those they serve.

📋 Description

• Verify clients’ mental health, intellectual disability, and/or substance abuse benefits • Obtain initial and subsequent authorizations as determined by the guarantor • Verify commercial and Medicare Advantage plans at intake and report changes to guarantors • Work daily reports to move authorizations through the authorization lifecycle from intake to discharge • Communicate guarantor needs to operations staff • Pull necessary chart information for retroactive reviews and appeals • Collaborate with and educate operations staff on authorization processes and client request status • Implement tracking systems for future authorizations and guarantor maintenance • Resolve billing problems and receive insurance updates

🎯 Requirements

• Consideration only for candidates living in the Louisville Metro area • High School diploma required • Associate degree preferred • Two years of administrative experience • Excellent observation skills, analytical thinking, problem-solving, and verbal and written communication skills • Basic knowledge of managed care and reimbursement concepts • Knowledge of medical terminology, CPT, HCPC, and revenue codes • Excellent customer service skills • Ability to lift up to 20 pounds, with frequent lifting and/or carrying of items weighing up to 10 pounds • Must follow policies and procedures related to safety management and Joint Commission standards

🏖️ Benefits

• Remote work arrangement • Full-time employment

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