Utilization Review Coordinator Full Time 35 hr Weekly at Root Center For Advanced Recovery

Manchester, Connecticut, United States -

Full Time

Start Date

Immediate

Expiry Date

05 Aug, 26

Salary

35.0

Posted On

07 May, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Utilization Review, Clinical Documentation, Insurance Authorization, Medical Billing, Behavioral Health, Medication Assisted Treatment (MAT), Discharge Planning, Payment Eligibility, Interdepartmental Collaboration, Patient Records Management, Communication Skills, Scheduling

Industry

Hospitals and Health Care

Description

At Root Center, we believe our employees are our greatest asset, and we're committed to creating a supportive and engaging work environment where everyone can thrive. We're driven by a clear purpose and a set of core values that shape everything we do, from nurturing growth and promoting well-being to cultivating connections and making a positive impact. In fact, 97% of our newly hired employees would recommend us to their friends for employment opportunities, and 96% said they strengthened their skills in their first few months. If you share our commitment to these values and want to join a team that lives them every day, Root Center might be the perfect fit for you! Starting Hourly Rate - $22.00-$35.00 Essential Functions * Utilize information obtained from various resources to ensure that each patient meets the clinical need for admission and ongoing treatment. * Obtains initial and ongoing concurrent authorizations and assists with discharges in a timely manner. Maintains adequate clinical and billing correspondence and documentation related to authorizations and patient records. Tracks and validates authorizations and new enrollments. * Collaborates with other departments to identify and document all barriers to access and timely interventions. * Identifies potential problems regarding payment eligibility for clinical services and recommends corrective action. * Collaborates with appropriate individuals and departments/clinics to ensure appropriate reimbursement. * Attend team meetings that foster interdepartmental collaboration with the patient and their family as deemed necessary. Provides input in such meetings regarding utilization management and discharge planning. * Facilitates communication within the clinic teams and billing to address any issues related to payment/ reimbursement for treatment, admissions and discharges to various programs. * Assist with scheduling treatments and other administrative tasks. Minimum Qualification Requirements Associates degree required, Bachelor’s degree in Counseling, Human Services or related field preferred. A minimum of 2 year experience in behavioral health, medical billing or a related area. Experiential or actual knowledge of Medication Assisted Treatment (MAT). Knowledge of criteria for Medicare, Medicaid, HMO and private insurance coverage strongly preferred. Strong communication skills. COMPENSATION & BENEFITS For all benefit eligible employees, we offer a prestigious employment package that includes competitive compensation plus a comprehensive array of benefits including: * Work Life Balance- Flexibility: Great work life balance with clinics closed on Sundays. No current on-call responsibilities. Time off including PTO (4 weeks), three (3) Paid training days and thirteen (13) paid holidays, including your birthday! 35 hour work week and so much more! * Health Insurance & Dental Insurance- with flexible employee contribution options depending upon chosen plan. * Voluntary Vision Insurance * Life Insurance and AD&D – 100% paid by Root Center for Advanced Recovery * Short-Term Disability – 100% paid by Root Center for Advanced Recovery * 403(b) Retirement Plan with a 5% employer match after 6 months of employment and an additional 5% employer contribution after 1 year of employment. * $2000 provided annually for tuition, license reimbursement, certifications or other educational activities, including 3 paid training days for educational activities and conferences; an additional $1000 available for counselors seeking outside supervision hours when such can not be provided in the organization internally. * Annual bonus eligible based on agency performance * Root Center has approved sites for the following NHSC Loan Repayment Programs: The Loan Repayment Program, Students to Service Loan Repayment Program, Rural Community Loan Repayment Program and Substance Use Disorder Workforce Loan Repayment Program. EEO Statement: Root Center is committed to hiring and retaining a diverse workforce. Root considers applicants for employment without regard to, and does not discriminate on the basis of, an individual’s sex, race, color, religion, age, disability, status as a veteran, or national or ethnic origin; nor does Root Center discriminate on the basis of sexual orientation or gender identity or expression. #sponsored

Responsibilities

The coordinator ensures patients meet clinical needs for admission and manages initial and ongoing authorizations. They collaborate across departments to resolve payment barriers and facilitate communication between clinic teams and billing.