Healthcare Utilization & Reimbursement Specialist

Harboroaks; Conway (AR); On-site; USD 40,000 - 60,000; Full time

Job summary

Harboroaks in Conway, Arkansas, seeks a proactive professional to monitor patient service utilization and optimize reimbursement for the facility. Responsibilities include liaising with managed care organizations, conducting quality reviews, and training staff on documentation requirements.

Candidates should have a high school diploma or equivalent, with preference for those holding degrees in social work or health-related fields. Clinical experience is necessary, as is familiarity with utilization management. The position offers opportunities for professional development and certification support.

Qualifications

• Clinical experience required or two years in a similar role.
• Preferred education in social work or health-related field.
• Experience in utilization management is preferred.

Responsibilities

• Monitor patient utilization of services to optimize reimbursement.
• Act as liaison between managed care organizations and clinical staff.
• Develop statistical and narrative reports on utilization.

Skills

Clinical experience

Communication skills

Analytical skills

Education

High school diploma or equivalent

Associate's, Bachelor's, or Master's in Health-related field

Job description

Harboroaks in Conway, Arkansas, seeks a proactive professional to monitor patient service utilization and optimize reimbursement for the facility. Responsibilities include liaising with managed care organizations, conducting quality reviews, and training staff on documentation requirements.

Candidates should have a high school diploma or equivalent, with preference for those holding degrees in social work or health-related fields. Clinical experience is necessary, as is familiarity with utilization management. The position offers opportunities for professional development and certification support.