Utilization Review (UR) Coordinator / Authorization Representative [Clinical Experience Preferred] – Behavioral Health

About the role

The role of Utilization Review (UR) Coordinator / Authorization Representative involves collaborating with healthcare providers to ensure that services are covered under insurance plans. This position requires clinical experience in behavioral health.

Responsibilities

• Review medical records and insurance claims to ensure compliance with coverage guidelines.
• Communicate with patients and providers regarding coverage and authorization issues.
• Prepare reports and documentation as required by regulatory bodies.
• Stay updated with changes in insurance policies and healthcare regulations.

Requirements

• Bachelor’s degree in healthcare, social work, or related field.
• At least 2 years of experience in healthcare administration or related field.
• Strong understanding of healthcare insurance policies and regulations.
• Excellent communication and interpersonal skills.

Qualifications

• Proficiency in Microsoft Office Suite.
• Ability to manage multiple tasks and meet deadlines.
• Knowledge of HIPAA and confidentiality standards.

Skills

• Strong analytical and problem-solving skills.
• Effective time management and organizational skills.
• Excellent written and verbal communication skills.

Benefits

• Competitive salary package.
• Incentive bonuses based on performance.
• Vacation and sick leave.
• Paid training and development opportunities.

Pay

• $XX.XX per hour.

Schedule

• Full-time position.
• Monday through Friday, 8:00 AM to 5:00 PM.