SimiTree Healthcare Consulting
Utilization Review Specialist - Healthcare (Remote)
What's your preference?
Job Description
- Req#: 25-01221
- Organized with strong communication skills.
- Familiar with ASAM criteria, substance abuse treatment, and HIPAA guidelines.
- Experience with Utilization Review within the behavioral healthcare field.
- EMR experience- ability to enter good notes in system.
- Ability to work with insurance companies to gain approval for services
- Bachelor's degree or 4 years' experience within Utilization review.
- $55,000- $65,000
- The compensation scale listed is a general salary range and is not intended to represent the actual annual or hourly compensation rate for this role. An offer will be made to the selected candidate at the conclusion of the interview process based on their relevant experience and the responsibilities of the position. SimiTree offers a competitive compensation package including health, vision, and dental insurance, PTO, retirement plans (401K), holiday paid time off, life insurance, sick time, and opportunities for professional development.
Utilization Review Specialist
About SimiTree:
SimiTree helps post-acute organizations raise performance levels and realize revenue potential. SimiTree offers clients a robust suite of services including financial, clinical, and operational consulting.
About the Role:
As the Utilization Review Specialist, you will fill the vital job of performing pre-certifications, conducting concurrent reviews, reporting discharges, and communicating with clients to coordinate billing census.
We-re looking for an organized, detail-oriented professional who can multi-task, someone who is willing to go the extra mile to get the job done. You'll be working on vital projects within a time sensitive deadline.
Requirements:About the company
SimiTree Healthcare Consulting unites former Simione and BlackTree experts, services, and approaches to help post-acute organizations raise performance levels and realize revenue potential in a complex market. SimiTree's services include Consulting, Mergers & Acquistions, Talent Solutions, Data Analytics, and Outsourced Services for home health, hospice, and palliative industries.
Notice
Talentify is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.
Talentify provides reasonable accommodations to qualified applicants with disabilities, including disabled veterans. Request assistance at accessibility@talentify.io or 407-000-0000.
Federal law requires every new hire to complete Form I-9 and present proof of identity and U.S. work eligibility.
An Automated Employment Decision Tool (AEDT) will score your job-related skills and responses. Bias-audit & data-use details: www.talentify.io/bias-audit-report. NYC applicants may request an alternative process or accommodation at aedt@talentify.io or 407-000-0000.