Billing and Utilization Coordinator - CSU
About The Position
Lakeview Center provides comprehensive behavioral health care to adults and children with mental illnesses, drug and alcohol dependencies and intellectual disabilities. Across Northwest Florida, our services range from residential treatment to outpatient counseling, psychiatry, trauma care, treatments for substance misuse and 24/7 support for those with serious mental illnesses. Learn more at Careers | Lakeview Center (elakeviewcenter.org). To perform medical necessity and benefit review requests in accordance with national standards, contractual requirements, and a member’s benefit coverage. To Monitor and maintain census needs and informed all parties of insurance and documentation compliance. Pull team meetings as designed by the program leaders. Inform teams of billing and or payor sources need to comply with each source requirement. Act as the Facilitator coordinator for day-to-day needs of staff and program.
Requirements
- Associate (AA) degree.
- High school diploma or GED with three (3) years related experience may be substituted.
- 1+ year experience in a utilization management team within managed care setting is preferred
- Must have good oral and written skills.
- Proficient in Microsoft Office (Outlook, Word, Excel and PowerPoint)
- Must be able to work independently.
- Must be detail oriented and have strong organizational and time management skills.
- Adaptive to a high pace and changing environment- flexibility in assignment.
- Proficient in Utilization Review process including benefit interpretation, contract language, medical and policy review and administrative support.
- Must be able to pass organization screening requirements, including state or federal background screenings as appropriate.
Nice To Haves
- 1+ year experience in a utilization management team within managed care setting is preferred
Responsibilities
- perform medical necessity and benefit review requests in accordance with national standards, contractual requirements, and a member’s benefit coverage
- Monitor and maintain census needs and informed all parties of insurance and documentation compliance
- Pull team meetings as designed by the program leaders
- Inform teams of billing and or payor sources need to comply with each source requirement
- Act as the Facilitator coordinator for day-to-day needs of staff and program
Benefits
- Medical
- Dental
- Vision
- Basic Life and AD&D
- Voluntary Term Life
- Employer Paid Long Term Disability
- Flexible Spending Accounts and Health Savings Account
- Retirement Savings Plan (RSP)
- Employee Assistance Program
- Accident Insurance
- Group Critical Illness Insurance
- Individual Short-Term Disability Insurance
- Paid Time Off
- Identity Theft Protection
- Employee Discount Program
- Teladoc
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
Associate degree
Number of Employees
1,001-5,000 employees
