Utilization Review Representative (UR Rep)
Company: Embark Behavioral Health
Location: Bakersfield
Posted on: May 9, 2022
Job Description:
Job DescriptionAre you someone that is dependable and more
reliable than spontaneous?Have you been told you are
detail-oriented and would rather focus on the details of work
rather than the bigger picture?Great! Because we are looking for
someone to join our team as a Utilization Review Representative (UR
Rep).Someone like you that enjoys taking on challenges, even if
they might fail and can work with little direction while thriving
in a high-pressure environment!What will you do as a UR Rep?
- Complete pre-authorization request to third party payors
- Work to ensure all concurrent reviews are prepped and requested
in a timely manner
- Ensure all potential clients receive appropriate certifications
for services "to be" rendered by working closely with insurance
companies, therapists and billing department
- Execute effective communication with clients/families and
billing department
- Communicate regularly with the various treatment team
providers
- Monitor the fulfillment of all documentation requirements
- Answer questions regarding the insurance authorization
processWhat you bring to Embark:
- Customer Service experience (with behavioral health experience
preferred)
- Experience with the insurance utilization review process
- Knowledge of medical terminology
- HIPAA Certification (required upon employment)
- Familiar with medical terminology, diagnostic terms, and
treatment modalities
- Working knowledge of Windows-based applications
- Patience and ability to manage stress and maintain
confidentiality
- High School/GED REQUIRED (Associate degree preferred)Why Work
for Embark?Embark is the world's most respected and recognized
family behavioral health provider serving preteens, teens, young
adults and their families. Founded in 2018 the company is
headquartered in Tempe, Arizona and operates 18 programs in 13
states across the United States. Embark has a proven,
internationally validated outcomes platform, the industry's highest
quality of care and safety standards, and a unique and
complimentary continuum of programs. Embark is comprised of four
highly regarded and recognized companies including: Calo Programs,
Innerchange Programs, New Vision Wilderness Programs and Potomac
Behavioral Health.**Embark is an Equal Employment Opportunity
Employer. Embark is committed to enriching the therapeutic and
healing experience it offers through the diversity of its employees
and community. Embark seeks to recruit and support a broadly
diverse staff who will contribute to the organization's excellence,
diversity of viewpoints and experiences, and relevance in a global
society.
Job Posted by ApplicantPro
Keywords: Embark Behavioral Health, Bakersfield , Utilization Review Representative (UR Rep), Other , Bakersfield, California
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