RiverValley Consulting Services
Owensboro, KY
Position Title: Utilization Review Specialist Location: Owensboro, KY 42301 Description: Description The Utilization Review Support Specialist is responsible for assuring insurance coverage of clients for treatment, by obtaining pre-certification and authorizations for various levels of care from insurance companies (the payers). The pre-certification and authorizations of coverage are obtained by demonstrating medical necessity through the presentation of medical and clinical documentation meeting applicable criteria guidelines. Collaborate with programs and departments in coordinating the UR process. Why Join Our Team? Competitive pay Comprehensive health, dental, vision, and Telehealth benefits Paid time off plus 9 paid holidays Retirement plan options Tuition reimbursement and free CEUs Clinical supervision and professional development Wellness and Employee Assistance Programs Mileage reimbursement for...