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Utilization Review Supervisor - Chicago, United States - COMPASS HEALTH CENTER, LLC.
Description
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
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