Utilization & Benefits Coordinator - Mental Health

Pavilionwp; Williamsburg (VA); On-site; USD 40,000 - 55,000; Full time

Benefits offered by this job

Comprehensive benefit plan

Competitive salary

EOE hiring practice

Job summary

Pavilionwp in Williamsburg, Virginia is seeking a Utilization Assistant to support utilization review activities in the hospital. This role involves working with insurance companies to ensure patient care coverage and verifying insurance benefits in a timely manner.

The ideal candidate should have at least a High School Diploma, with a Bachelor’s degree in social work or related health field preferred. Experience in a psychiatric setting will be advantageous.

Qualifications

• High School Diploma required; Bachelor's preferred.
• One or more years of clinical experience in a psychiatric setting preferred.

Responsibilities

• Assist with pre-certifications of care.
• Perform pre and post admission benefit verification.
• Review medical records for appropriateness of care level.
• Coordinate findings with the business office.

Skills

Utilization management

Insurance verification

Communication

Clinical experience

Education

High School Diploma

Bachelor’s Degree in social work or related field

Job description

Pavilionwp in Williamsburg, Virginia is seeking a Utilization Assistant to support utilization review activities in the hospital. This role involves working with insurance companies to ensure patient care coverage and verifying insurance benefits in a timely manner.

The ideal candidate should have at least a High School Diploma, with a Bachelor’s degree in social work or related health field preferred. Experience in a psychiatric setting will be advantageous.