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Utilization Review Supervisor
2 months ago
Patients and their families rely on Compass Health Center when in crisis - every day, we help people overcome depression, anxiety, suicidality, obsessions/compulsions, trauma, chronic pain, and other obstacles in order for our patients to live freely.
About This Role
We are seeking a Utilization Review Supervisor to lead a team of specialists in obtaining appropriate insurance authorization for our patients to receive Behavioral Health treatment at high levels of care.
In addition to overseeing and providing direction to the team, the UR Supervisor must possess exemplary organizational skills, and have a clear passion in behavioral health driven by helping patients get the care they need.
Our dedicated operations teams work behind the scenes to bring our shared mission to life.Each department delivers their own set of strengths which empower our clinicians to focus on their expertise, and ultimately perform the meaningful work that we do.
What You'll Do:
- Lead the Utilization Review staff
- Requesting and obtaining appropriate insurance authorizations on a timely basis, as directed by treatment teams
- Inform clinical teams of results of each review
- Correct attendance document as necessary
- Supervising staff of Utilization Specialists
- Coordinate daily review schedule
- Assign and balance daily workload among staff
- Assure that reviews are completed in a timely manner
- Coordinating patient/family communication with Director of Operations and Patient Services when authorization status changes due to insurance company determination
- Investigating to help resolve billing/claims/payment issues that involve authorizations
Who You Are:
- 12 years professional experience in a healthcare management or leadership role in customer service, health administration, patient relations or related role
- Experience with policy or procedure development related to customer service
- Strong knowledge of Microsoft Office products (Word, Excel, Access, PowerPoint, etc.)
- Strong interpersonal and team participation skills
- Strong verbal and written communication skills
- Highly organized, effective in time management, ability to manage multiple priorities, strong teamwork skills
- Strong keyboard and telephone skills
- We know job descriptions can be intimidating, so if this sounds like an opportunity for you, please don't hesitate to apply_
Who We Are
Compass Health Center is a recognized leader in crisis-level mental health, bringing passion, connection, and patient-centered care to the Partial Hospitalization and Intensive Outpatient space (PHP/IOP).
Based in Chicagoland, we serve hundreds of patients every day, ranging from ages 5 through adulthood, in our onsite facilities or through our flourishing virtual programming.
Compass fills a critical gap between outpatient and inpatient care through an intermediate level of Behavioral Healthcare.
A few more things we want you to know: our values are super important to us, and hopefully will be to you, too.
Benefits & Perks
We know that you will be dedicated to your purpose here. We look at that investment as a two-way street. We are proud to offer plenty of space for growth, and opportunities to pursue continuous development within our organization.
For eligible positions, our other benefits include: comprehensive medical/dental/vision plans, 401k program with company matching, generous PTO (including competitive parental leave after 1 year of employment), and continuous training through CEU seminars and volunteering opportunities.
