UR Specialist

4 weeks ago

Peachtree City, United States Compass Revenue Solutions Full time
Job DescriptionJob DescriptionDescription:

A Utilization Review Specialist’s responsibilities include but are not limited to completing all medical necessity reviews with payer on the facility’s behalf and documenting outcomes in the facility’s EMR (Alleva/KIPU), While communicating to our own team at CRS internally in Monday. In addition, the best candidate for this position will be experienced in behavioral health commercial payer medical necessity criteria. A Utilization Review Specialist will follow the company's process for requesting authorization from insurance providers. A Utilization Review Specialist will also be responsible for following up on all pending/outstanding dates of service with no authorization.

Requirements:


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