Precertification Specialist

UHS • Lexington, KY

1d • Onsite

About The Position

Utilization Review Precertification Specialist Opportunity:
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 hospital located in 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.

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 its inception into an esteemed Fortune 500 corporation, annual revenues were $15.8 billion in 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 approximately 99,000 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. www.uhs.com

Requirements

• Master’s degree in Social work, Psychology, or other Mental Health field or RN license is preferred.
• Minimum Associate Degree with 5 years mental health experience required.
• Crisis intervention training is required and is offered upon hire.
• CPR is required and offered upon hire.
• One to two years of experience in a psychiatric hospital is preferred.
• One to two years of experience in Utilization Management preferred.
• Excellent written and verbal communication skills.

Responsibilities

• Maintains individual payer files to include up to date requirements needed to successfully obtain authorizations for care and treatment.
• Request, track, and obtain pre-authroization from insurance carriers within time allotted for 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.

Benefits

• 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

What This Job Offers

• Job Type: Part-time
• Career Level: Entry Level
• Number of Employees: 501-1,000 employees