Utilization & Insurance Coordinator, Mental Health

Summit BHC; Annapolis (MD); On-site; USD 40,000 - 56,000; Full time

Benefits offered by this job

Comprehensive benefit plan

Competitive salary

Job summary

Summit BHC supports Highland Hospital in Annapolis, Maryland by providing a Utilization Assistant to assist with utilization review activities. You will help obtain coverage for patients by handling pre-certifications and benefit verification with managed care organizations.

Responsibilities include reviewing records for appropriate level of care, communicating with admissions and the business office, and ensuring timely documentation and UR data entry.

Qualifications

• High School Diploma required.
• Bachelor’s degree in social work, behavioral or mental health, or related health field preferred.
• One or more years of direct clinical experience in a psychiatric/mental health setting preferred.

Responsibilities

• Assists the admissions department with pre-certifications of care.
• Performs pre and post admission benefit verification with managed care organizations.
• Reviews medical records for appropriateness of level of care at admission and at relevant intervals.
• Conducts reviews with payers to ensure certification of care.
• Maintains documentation related to utilization management and coordinates with the business office.

Skills

Healthcare administration

Medical records review

Education

High School Diploma

Bachelor’s degree in social work or related health field

Job description

Summit BHC supports Highland Hospital in Annapolis, Maryland by providing a Utilization Assistant to assist with utilization review activities. You will help obtain coverage for patients by handling pre-certifications and benefit verification with managed care organizations.

Responsibilities include reviewing records for appropriate level of care, communicating with admissions and the business office, and ensuring timely documentation and UR data entry.