Utilization Review Specialist

Company: VirtualVocations
Location: Beaumont
Posted on: March 12, 2025

Job Description:

A company is looking for a Utilization Review Specialist - Healthcare (Remote).
Key Responsibilities

Perform pre-certifications and conduct concurrent reviews
Report discharges and coordinate billing census with clients
Work with insurance companies to gain approval for services

Required Qualifications

Bachelor's degree or 4 years of experience in Utilization Review
Familiarity with ASAM criteria, substance abuse treatment, and HIPAA guidelines
Experience in Utilization Review within the behavioral healthcare field
EMR experience with the ability to enter notes in the system
Organizational skills and ability to multi-task

Keywords: VirtualVocations, Beaumont , Utilization Review Specialist, Other , Beaumont, Texas

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