Inpatient Utilization Management Specialist

Charlotte Behavioral Health Care; Punta Gorda (FL); On-site; USD 40,000 - 50,000; Full time

Benefits offered by this job

Dental insurance

Vision insurance

Health insurance

Life insurance

PTO

EAP

HSA employer contribution

403b retirement plan

Tuition reimbursement

PSLF eligibility

HRSA loan repayment

Job summary

Charlotte Behavioral Health Care, Inc. is seeking an Intake/Insurance Coordinator for Crisis Services in Punta Gorda.

The role involves coordinating with treatment teams to identify new patients and verify insurance coverage, while communicating responsibilities to patients and third-party payers. The position requires familiarity with health insurance, managed care, and ASAM criteria, plus a minimum two years in behavioral health.* A Level II background check and drug screen are required.

Qualifications

• High school diploma or equivalent.
• Minimum of two years' experience in behavioral health (preferred).
• Familiarity with health insurance, managed care, and third-party payers preferred.
• Must be able to pass a Level II Background clearance and drug test.

Responsibilities

• Participate in daily treatment team meetings to identify new patients and determine insurance coverage.
• Verify benefit coverage for identified plans and communicate responsibilities to patients.
• Provide timely and accurate clinical information to third party payers to assure coverage for inpatient treatment services.
• Draft insurance appeals as needed.
• Assist in reporting ACSU Daily Census as required.

Skills

Insurance verification

Payer communications

Customer service

Education

High school diploma or equivalent

Tools

ASAM criteria

Job description

Sign-on Bonus: $500Work days: Saturday and SundayParticipate in daily treatment team meetings in Crisis Services programs for the purpose of identifying new patients and communicating with them to determine financial income information, behavioral health and Substance Abuse insurance coverage as well as prescription medication insurance coverage.Attempt to obtain copies of insurance cards or other documentation from the patient or patient’s family/friends should intake staff be unable to procure at admission.Verify benefit coverage for all identified insurance plans, and communicate responsibilities to patients.Provide timely and accurate clinical information to third party payers as needed to assure coverage for inpatient treatment services.Provide feedback to nursing and administrative staff regarding need for documentation, denial of payment for patient treatment, or need for doctor-to-doctor consultation to assure coverage of treatment.Draft insurance appeals as needed.Responsible to assist in the reporting of ACSU Daily Census reporting, required by CFBHN.BenefitsFull-timeDental, vision, health, and life insurance.Employee Assistance Program (EAP).Employer sponsored contribution to Health Savings Account (HSA), with qualifying insurance plan.Paid Time Off (PTO).11 paid holidays.Must meet eligibility requirements403b Retirement Plan, with 9% employer contribution for those who meet eligibility requirements.Tuition reimbursement, Public Service Loan Forgiveness (PSLF) eligible, and Health Resources and Services Administration (HRSA) loan repayment eligible for qualifying staffHigh school diploma or equivalent.Minimum of two (2) years’ experience in behavioral health field, preferred.Familiarity with health insurance, managed care organizations, third party payers and ASAM level of care criteria preferred.Preferred UM experience in a health related field.Ability to pass a level II Background clearance and drug test.For more information regarding the Level II Background Screening click here: https://info.flclearinghouse.com