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Utilization Review Supervisor
$125k-163k (estimate)
Full Time | Ambulatory Healthcare Services 2 Weeks Ago
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Compass Health Center is Hiring a Remote Utilization Review Supervisor

We are seeking a Utilization Review Supervisor to lead a team of specialists in obtaining appropriate insurance authorization for our patients to receive Behavioral Health treatment at high levels of care. In addition to overseeing and providing direction to the team, the UR Supervisor must possess exemplary organizational skills, and have a clear passion in behavioral health driven by helping patients get the care they need. 

Our dedicated operations teams work behind the scenes to bring our shared mission to life. Each department delivers their own set of strengths which empower our clinicians to focus on their expertise, and ultimately perform the meaningful work that we do. 

What You'll Do:

  • Lead the Utilization Review staff
  • Requesting and obtaining appropriate insurance authorizations on a timely basis, as directed by treatment teams
  • Inform clinical teams of results of each review
  • Correct attendance document as necessary
  • Supervising staff of Utilization Specialists
  • Coordinate daily review schedule
  • Assign and balance daily workload among staff
  • Assure that reviews are completed in a timely manner
  • Coordinating patient/family communication with Director of Operations and Patient Services when authorization status changes due to insurance company determination
  • Investigating to help resolve billing/claims/payment issues that involve authorizations

Who You Are:

  • 1-2 years professional experience in a healthcare management or leadership role in customer service, health administration, patient relations or related role
  • Experience with policy or procedure development related to customer service
  • Strong knowledge of Microsoft Office products (Word, Excel, Access, PowerPoint, etc.)
  • Strong interpersonal and team participation skills
  • Strong verbal and written communication skills
  • Highly organized, effective in time management, ability to manage multiple priorities, strong teamwork skills
  • Strong keyboard and telephone skills

Job Summary

JOB TYPE

Full Time

INDUSTRY

Ambulatory Healthcare Services

SALARY

$125k-163k (estimate)

POST DATE

04/28/2024

EXPIRATION DATE

07/09/2024

WEBSITE

compasshealthcenter.net

HEADQUARTERS

CHICAGO, IL

SIZE

50 - 100

FOUNDED

2011

TYPE

Private

CEO

CHRISANTHA E ANANDAPPA

REVENUE

$10M - $50M

INDUSTRY

Ambulatory Healthcare Services

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