Precertification Specialist
Universal Health Services, Inc., Lexington, KY, United States
Responsibilities
UtilizationReviewPrecertification SpecialistOpportunity:
Part Time, Dayshift, Weekends
Friday 8am-430pm, Sat 8am-430pm. and Sunday 8am-12pm
As the only free-standing psychiatric hospital in the Central Kentucky area, we are here to help. Please join our team as we expand our services to meet the needs of our community.
The Ridge Behavioral Health System is a 110-bed hospitallocatedin the heart of the Bluegrass, Lexington, KY. The Ridge provides psychiatric and substance use disorder treatment for children, adolescents, and adults. The Ridge offers Partial Hospitalization, Intensive Outpatient Programs, Individual Counseling, as well as Medication Management for all ages. We have provided behavioral health services to over 92 Kentucky counties for more than 39 years.
Job Duties include:
Maintains individual payer files to include up to date requirements needed to successfully obtain authorizations for care and treatment.
Request, track, and obtain pre-authroizationfrom insurance carriers within timeallottedfor assigned workload and follow-up regularly on pending cases.
Ensure tracking programs and patient records are kept up to date through the pre-certification process.
What We Offer You:
Competitive Compensation & Generous Paid Time Off
Excellent Medical, Dental, Vision and Prescription Drug Plans
401(K) with company match and discounted stock plan
Challenging and rewarding work environment with the opportunity to make a difference in the lives of others.
Career development opportunities within UHS and its 300+ Subsidiaries
Close to Hamburg & I-75
Free parking on premises
Free meal with each shift
About Universal Health Services:
One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since itsinceptioninto an esteemed Fortune 500 corporation, annual revenues were$15.8 billionin 2024. UHS was again recognized as one of the World's Most Admired Companies by Fortune; listed in Forbes ranking of America's Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately99,000 employeesand continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physiciannetworkand various related serviceslocatedall over the U.S. States, Washington, D.C., PuertoRicoand the United Kingdom.www.uhs.com
Qualifications
Job Qualifications:
Education:
Master's degree in Social work, Psychology, orotherMental Health field or RN license ispreferred.
MinimumAssociate Degreewith 5 years mental health experiencerequired.
Certifications/Licensure:
Crisis intervention training isrequiredand is offered upon hire.
CPR isrequiredand offered upon hire.
Experience:
One to two years of experience in a psychiatric hospital is preferred.
One to two years of experience in Utilization Management preferred.
Other Skills:
Excellent written and verbal communication skills.
We encourageyou to applyto become a part of our team as we set out to be the provider of choice for psychiatric care!
EEO Statement
All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.
We believe that diversity and inclusion among our teammates is critical to our success.
Notice
At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillsetand experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, creditcardor bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.
If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns toappropriate lawenforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.
UtilizationReviewPrecertification SpecialistOpportunity:
Part Time, Dayshift, Weekends
Friday 8am-430pm, Sat 8am-430pm. and Sunday 8am-12pm
As the only free-standing psychiatric hospital in the Central Kentucky area, we are here to help. Please join our team as we expand our services to meet the needs of our community.
The Ridge Behavioral Health System is a 110-bed hospitallocatedin the heart of the Bluegrass, Lexington, KY. The Ridge provides psychiatric and substance use disorder treatment for children, adolescents, and adults. The Ridge offers Partial Hospitalization, Intensive Outpatient Programs, Individual Counseling, as well as Medication Management for all ages. We have provided behavioral health services to over 92 Kentucky counties for more than 39 years.
Job Duties include:
Maintains individual payer files to include up to date requirements needed to successfully obtain authorizations for care and treatment.
Request, track, and obtain pre-authroizationfrom insurance carriers within timeallottedfor assigned workload and follow-up regularly on pending cases.
Ensure tracking programs and patient records are kept up to date through the pre-certification process.
What We Offer You:
Competitive Compensation & Generous Paid Time Off
Excellent Medical, Dental, Vision and Prescription Drug Plans
401(K) with company match and discounted stock plan
Challenging and rewarding work environment with the opportunity to make a difference in the lives of others.
Career development opportunities within UHS and its 300+ Subsidiaries
Close to Hamburg & I-75
Free parking on premises
Free meal with each shift
About Universal Health Services:
One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since itsinceptioninto an esteemed Fortune 500 corporation, annual revenues were$15.8 billionin 2024. UHS was again recognized as one of the World's Most Admired Companies by Fortune; listed in Forbes ranking of America's Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately99,000 employeesand continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physiciannetworkand various related serviceslocatedall over the U.S. States, Washington, D.C., PuertoRicoand the United Kingdom.www.uhs.com
Qualifications
Job Qualifications:
Education:
Master's degree in Social work, Psychology, orotherMental Health field or RN license ispreferred.
MinimumAssociate Degreewith 5 years mental health experiencerequired.
Certifications/Licensure:
Crisis intervention training isrequiredand is offered upon hire.
CPR isrequiredand offered upon hire.
Experience:
One to two years of experience in a psychiatric hospital is preferred.
One to two years of experience in Utilization Management preferred.
Other Skills:
Excellent written and verbal communication skills.
We encourageyou to applyto become a part of our team as we set out to be the provider of choice for psychiatric care!
EEO Statement
All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.
We believe that diversity and inclusion among our teammates is critical to our success.
Notice
At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillsetand experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, creditcardor bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.
If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns toappropriate lawenforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.