Utilization Review & Benefits Specialist

The Pavilion at Williamsburg Place; Williamsburg (VA); On-site; USD 40,000 - 55,000; Full time

Benefits offered by this job

Comprehensive benefit plan

Job summary

The Pavilion at Williamsburg Place is seeking a Utilization Assistant in Williamsburg, Virginia. This role involves providing support for utilization review activities and working with insurance providers to secure patient coverage.

Responsibilities include assisting with pre-certifications, reviewing medical records, and ensuring timely documentation. A High School Diploma is required, while a Bachelor’s degree in a related field and clinical experience are preferred. The position offers a competitive salary and comprehensive benefits.

Qualifications

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

Responsibilities

• Assists admissions with pre-certifications of care.
• Reviews medical records for level of care appropriateness.
• Maintains documentation for utilization management.

Skills

Insurance coverage knowledge

Communication skills

Clinical experience

Education

High School Diploma

Bachelor’s Degree in social work or related field

Job description

The Pavilion at Williamsburg Place is seeking a Utilization Assistant in Williamsburg, Virginia. This role involves providing support for utilization review activities and working with insurance providers to secure patient coverage.

Responsibilities include assisting with pre-certifications, reviewing medical records, and ensuring timely documentation. A High School Diploma is required, while a Bachelor’s degree in a related field and clinical experience are preferred. The position offers a competitive salary and comprehensive benefits.