Utilization Review Specialist
7 days ago
Job Details
Job Location
Parkside Hospital
Job Summary
We are seeking a highly skilled Utilization Review Specialist to join our team at Parkside Hospital. As a Utilization Review Specialist, you will play a critical role in ensuring the efficient use of healthcare resources and minimizing potential recoupment from third-party payers.
Key Responsibilities
- Assess, plan, implement, and evaluate internal processes to limit possible recoupment from third-party payers, including Medicare, Medicaid, HMOs, and private insurance.
- Coordinate with clinicians, business office, and medical records to achieve these goals.
- Participate in the department's performance improvement and continuous quality improvement (CQI) activities.
Requirements
- Bachelor's degree in a related field from an accredited university.
- 2+ years of experience in healthcare, utilization review, and business settings.
Benefits
- Medical, dental, and vision insurance.
- Generous paid time off and holidays.
- 401(k) and match.
- Company-paid life insurance and disability.
About Us
Parkside Hospital is a 120-bed, private, non-profit psychiatric hospital providing outpatient services as well. We are committed to providing outstanding mental health and support services to our community.
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