Utilization Review SpecialistVirtualVocations • Savannah, Georgia, United States
Utilization Review Specialist
VirtualVocations • Savannah, Georgia, United States
[job_card.30_days_ago]
[job_preview.job_type]
- [job_card.full_time]
[job_card.job_description]
A company is looking for a UR Queue Specialist.
Key Responsibilities
Manage overflow cases and evaluate patient medical records for service necessity and appropriateness
Analyze utilization data and communicate with providers and insurance companies to resolve issues
Ensure compliance with regulatory requirements and maintain accurate records of reviews and decisions
Required Qualifications
Minimum of one year experience in utilization review
Experience in healthcare, particularly in behavioral health
Familiarity with billing and EMR / EHR software
Knowledge of medical necessity criteria and levels of care
Ability to manage multiple tasks and prioritize workload effectively
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Utilization Review Specialist • Savannah, Georgia, United States
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