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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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