Healthcare Utilization & Benefits Coordinator

Henderson Hospital; West Columbia (SC); On-site; USD 65,000 - 85,000; Full time

Benefits offered by this job

Medical, Dental, Vision

401(K) with company match

Tuition Assistance

Employee Referral Program

SoFi Student Loan Refinancing Program

Job summary

Three Rivers Behavioral Health, a 136-bed facility in West Columbia, SC, seeks a professional to handle precertification and benefits verification for new patients. You will coordinate utilization management with the treatment team and handle discussions with patients to obtain needed signatures.

The role requires a Master’s in a mental health field or RN, with two years of psychiatric chart review and strong communication skills to liaise with payors and clinicians.

Qualifications

• Masters degree in a recognized mental health field or RN required.
• Strong chart review and utilization management skills needed.
• Excellent oral and written communication to collaborate with teams and payors.

Responsibilities

• Precertification and benefits verification for incoming patients.
• Coordinate utilization management with the interdisciplinary team.
• Discuss forms with patients and obtain signatures.
• Verify insurance and complete precertification and appeals.

Skills

Chart analysis

Utilization review

Excellent communication

Payor knowledge

Education

Masters degree in mental health

Registered Nurse (RN)

Job description

Three Rivers Behavioral Health, a 136-bed facility in West Columbia, SC, seeks a professional to handle precertification and benefits verification for new patients. You will coordinate utilization management with the treatment team and handle discussions with patients to obtain needed signatures.

The role requires a Master’s in a mental health field or RN, with two years of psychiatric chart review and strong communication skills to liaise with payors and clinicians.