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Remote Staffing

UM Specialist - Remote

Remote Staffing, Louisville, Kentucky, United States, 40201

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Consideration will only be given to candidates living in the Louisville Metro area. Essential job functions include verifying client's mental health, intellectual disability, and/or substance abuse benefits and obtaining initial and subsequent authorizations. The role also involves verifying commercial and Medicare Advantage plans, managing daily reports for authorizations, communicating with operations staff, pulling information for retro reviews and appeals, collaborating on authorization processes, implementing tracking systems, and resolving billing problems. Education: High School diploma, Associate degree preferred. Experience: Two years of administrative experience. Requirements: Excellent observation skills, analytical thinking, problem-solving, and good verbal and written communication skills. Basic knowledge of managed care and reimbursement concepts. Knowledgeable of medical terminology, CPT, HCPC, and revenue codes. Excellent customer service skills. Physical demands include lifting up to 20 pounds, with frequent lifting and/or carrying of items weighing up to 10 pounds. Occasional minor discomfort from continual exposure to a video display terminal. Time Type: Full time We continually help our community and employees flourish... one life at a time. As a Seven Counties Services employee, there are many benefits to enjoy. Below are just some of the great benefits you might be eligible for with Seven Counties Services. Health & Wellness: Medical Coverage, Dental Coverage, Vision Coverage, Flexible Spending Account, Health Savings Account, Short Term Disability, Long Term Disability. Financial Wellbeing: Competitive Compensation Packages, Life Insurance, 403b Retirement Plan with Company Funded Matching, Retirement and Financial Planning Services. Career Development and Growth: Tuition Assistance Plans, Loan Forgiveness options through federal programs (National Health Service Corps & Public Service Loan Forgiveness), Student Loan Repayment Assistance, Clinical Supervision toward licensure and reimbursement for certain license applications. Company paid professional training for various skills, certifications, and continuing education. Opportunities for growth and movement. Leadership Academy for our rising stars, supervisors, and leaders. Work Life Balance: Paid Time Off for Vacations, Illness, Personal Days, Etc. (10 Paid Holidays), Flexible Work Schedules to promote a Healthy Work Life Balance, Employee Assistance Program - assists employees with personal problems and/or work-related problems that may impact their job performance, health, mental and emotional well-being. At Seven Counties Services, we are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and employees without regard to race, color, religion, sex, pregnancy (including childbirth, lactation and related medical conditions), national origin, age, physical and mental disability, marital status, sexual orientation, gender identity, gender expression, genetic information (including characteristics and testing), military and veteran status, and any other characteristic protected by applicable law. Seven Counties Services is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, gender, disability, sexual orientation, marital status, or protected veteran status.