Utilization Specialist
Southcoast Behavioral Health Dartmouth, MA, US
Salary not disclosed
Posted
5 days ago
Work Type
--
Employment
--
Experience
Mid
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Job Description
Overview *
- *PURPOSE STATEMENT:
- Proactively monitor utilization of services for patients to optimize reimbursement for the facility.
Responsibilities *
- *ESSENTIAL FUNCTIONS:
-
- Act as liaison between managed care organizations and the facility professional clinical staff.
- Conduct reviews, in accordance with certification requirements, of insurance plans or other managed care organizations (MCOs) and coordinate the flow of communication concerning reimbursement req...
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