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Utilization Review Specialist

Company: VirtualVocations
Location: Beaumont
Posted on: April 1, 2025

Job Description:

A company is looking for a Utilization Review Specialist to obtain insurance authorization for behavioral health treatment.
Key Responsibilities

Contact insurance companies to verify coverage and obtain treatment approval
Collaborate with the clinical team to compile treatment plans and necessary documentation
Document Electronic Medical Records accurately and communicate authorizations/denials to internal staff

Required Qualifications

Bachelor's Degree or relevant experience
Previous healthcare or insurance experience
Knowledge of medical terminology and psychiatric criteria
Ability to analyze and communicate clinical information
Familiarity with Microsoft Office, Outlook, and EMR

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

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