Full-Time Utilization Review Specialist

CA Billing is looking to add to our growing medical billing company. We specialize mainly in the Behavioral/Mental Health industry. The position we are looking to fill is for a Full-Time Utilization Review Specialist. A minimum of 1 year of experience working as a UR Specialist is required. Here are some of the additional job requirements we are looking for.

 

Job Description:

  • Ability to be aggressive in advocating on behalf of our facilities to insurance carries
  • Ability to communicate effectively with clinical team to understand treatment needs of patients
  • Always communicate in a professional manner in both verbal and written communication internally and with our facility’s
  • Being focused throughout the day while staying organized and maintaining attention to detail
  • Able to manage a minimum caseload of between 30-50 patients
  • Work collaboratively with insurance providers
  • Be proficient with using various EMR software
  • Exceptional customer service and both verbal and written communications skills
  • Must be a team player and be willing to multitask
  • Must be available to handle reviews after standard business hours as needed
  • Attention to detail and must be organized
  • Must be proficient in Excel, Power Point and Word (experience with Salesforce a plus)

Skills:

  • Analytical Mindset
  • Problem Solver
  • Critical thinking
  • Detail Oriented
  • Quick Learner
  • Excellent Oral & Written Communication
  • Customer Service
  • Client Relations
  • Time Management
  • Organization
  • Computer Literacy
  • Alpha/Numeric Keyboard Skills
  • Professionalism

Required Education

  • One-year experience as UR Specialist required
  • High School Diploma or equivalent required
  • Bachelor’s degree preferred

Industry: Behavioral Health/Mental Health

Employment Type: Full-time