Utilization Review Coordinator Full Time 35 hr Weekly

About the role

At Root Center, we believe our employees are our greatest asset, and we're committed to creating a supportive and engaging work environment where everyone can thrive. Our clear purpose and core values shape everything we do, from nurturing growth and promoting well-being to cultivating connections and making a positive impact.

Responsibilities

• Utilize information obtained from various resources to ensure that each patient meets the clinical need for admission and ongoing treatment.
• Obtains initial and ongoing concurrent authorizations and assists with discharges in a timely manner.
• Maintains adequate clinical and billing correspondence and documentation related to authorizations and patient records.
• Tracks and validates authorizations and new enrollments.
• Collaborates with other departments to identify and document all barriers to access and timely interventions.
• Identifies potential problems regarding payment eligibility for clinical services and recommends corrective action.
• Collaborates with appropriate individuals and departments/clinics to ensure appropriate reimbursement.
• Attends team meetings that foster interdepartmental collaboration with the patient and their family as deemed necessary.
• Provides input in such meetings regarding utilization management and discharge planning.
• Facilitates communication within the clinic teams and billing to address any issues related to payment/reimbursement for treatment, admissions and discharges to various programs.
• Affixes treatments and other administrative tasks.

Requirements

• Associates degree required, Bachelor’s degree in Counseling, Human Services or related field preferred.
• A minimum of 2 years experience in behavioral health, medical billing or a related area.
• Experiential or actual knowledge of Medication Assisted Treatment (MAT).
• Knowledge of criteria for Medicare, Medicaid, HMO and private insurance coverage strongly preferred.
• Strong communication skills.

Qualifications

• None specified

Skills

• Strong communication skills.

Benefits

• Work Life Balance- Flexibility: Great work life balance with clinics closed on Sundays. No current on-call responsibilities. Time off including PTO (4 weeks), three (3) Paid training days and thirteen (13) paid holidays, including your birthday!
• 35 hour work week and so much more!
• Health Insurance & Dental Insurance- with flexible employee contribution options depending upon chosen plan.
• Voluntary Vision Insurance.
• Life Insurance and AD&D – 100% paid by Root Center for Advanced Recovery.
• Short-Term Disability – 100% paid by Root Center for Advanced Recovery.
• 403(b) Retirement Plan with a 5% employer match after 6 months of employment and an additional 5% employer contribution after 1 year of employment.
• $2000 provided annually for tuition, license reimbursement, certifications or other educational activities, including 3 paid training days for educational activities and conferences; an additional $1000 available for counselors seeking outside supervision hours when such can not be provided in the organization internally.
• Annual bonus eligible based on agency performance.
• Root Center has approved sites for the following NHSC Loan Repayment Programs: The Loan Repayment Program, Students to Service Loan Repayment Program, Rural Community Loan Repayment Program and Substance Use Disorder Workforce Loan Repayment Program.

Pay

Starting Hourly Rate - $22.00-$35.00

Schedule

35 hour work week and so much more!

Employer

Root Center

EEO Statement

Root Center is committed to hiring and retaining a diverse workforce. Root considers applicants for employment without regard to, and does not discriminate on the basis of, an individual’s sex, race, color, religion, age, disability, status as a veteran, or national or ethnic origin; nor does Root Center discriminate on the basis of sexual orientation or gender identity or expression.