Stepworks is a thriving company and trusted addiction treatment provider with facilities throughout Kentucky. We walk with patients during the early steps of recovery and provide resources to support their long-term sobriety. Our mission is to help people hurt by addiction reclaim their dignity and build a better life. Stepworks gives team members continuing opportunities to learn, grow, and inspire in a valued sector of the healthcare industry. Read more of our story at stepworks.com/careers.
POSITION: Utilization Review Specialist
LOCATION: Elizabethtown, KY- Remote (*Must be a KY resident)
QUALIFICATIONS:
• high school diploma
• experience with behavioral health pre-authorizations
• familiarity with medical terminology
• proficiency with electronic medical records
• excellent computer and online skills
• excellent customer service and telephone communication skills
• excellent people skills: can create good relationships with other team members, patients, and insurance representatives
• organizational skills: ability to multitask, make decisions, work independently, manage time, meet deadlines, and excel in a fast-paced setting
• minimum of one year of utilization review experience
RESPONSIBILITIES AND TRAINING:
• identify the level-of-care for patients based on ASAM criteria
• understand substance abuse treatment (assessments, treatment planning, continuing care recommendations, medication)
• understand the managed-care system (ASAM criteria, behavioral health insurance benefits and pre-authorization, utilization review, peer reviews, discharge reviews)
• provide verbal and written documentation required by insurance providers
• provide the documentation for utilization reviews, discharge reviews, and peer reviews
• prepare, submit, and follow up on appeals
• maintain electronic medical records
• regularly communicate with appropriate Stepworks team members to insure all steps are taken to obtain authorizations
SHIFT: Monday-Friday, 7:00 A. M. to 3:00 P. M.
BENEFITS:
• health, dental, and vision insurance
• life insurance, short-term disability, hospitalization, and critical illness policies
• 401K with employer matching after one year of employment
• paid time off
APPLICATION:
Please visit stepworks.com/application to complete an application and submit a resume. If you currently work at Stepworks, please send your resume and the position you are applying for to humanresources@stepworks.com.
Does the Stepworks mission to help people hurt by addiction reclaim their dignity and build a better life excite you? Does our active, collaborative culture appeal to you? If so, we would love for you to join our team. Apply today.
High school diploma, one year of utilization review experience, behavioral health pre-authorization experience, medical terminology familiarity, electronic medical records proficiency, and strong communication and organizational skills.
Key Responsibilities
- reviewing authorizations
- preparing appeals
- maintaining records
Skills & Tools
Electronic Medical Records
Job Details
- Category: Healthcare Services - Allied Health
- Seniority: Entry Level
- Commitment: Full Time
- Workplace: Remote — Elizabethtown, Kentucky, United States
- Languages: English
Benefits
- 401k matching
- Retirement plan
About Stepworks Recovery Centers LLC
An addiction treatment provider supporting patients through recovery and long-term sobriety. — Industry: Healthcare