Utilization Management Specialist
Primary Responsibilites:
Conducting authorizations, benefits and clinic support for new intake and current clients.
Preferred Skills and Knowledge:
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Excellent organization and problem-solving skills
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Experience using electronic medical record applications (Central Reach preferred).
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Working knowledge of HIPAA regulations
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Excellent interpersonal skills, good oral and written communication skills
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Good organization and time management skills
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Must have good working knowledge of Microsoft Office or Gmail office tools (Word, Excel, PowerPoint)
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Verify client information and benefits
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Email Intake packets for new clients and monitor receipt
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Enter accurate demographic, benefit, and authorization information for clients into operating system
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Request Financial Agreements from Client Accounts
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Monitor availability of clinic space and providers
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Coordinate process flow with clinics and providers
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Maintain accurate documentation of service requests, testing, referrals and authorizations
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Oversee receipt of authorizations and creation of accurate authorizations in operating system
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Actively participate in Intake meetings and collaborate with providers and clinics for best Intake practices
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Complete authorization renewals
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Verify client eligibility weekly
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Other duties as assigned by the intake manager
Education and Experience:
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Bachelor’s Degree
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Must be self motivated, driven, bring energy and good communication skills
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Must convey a sense of passion about helping children with autism through ABA therapy
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Time management and organization