ABA Utilization Review (UR) Specialist
Spectrum Billing SolutionsSkokie, IL
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Overview
Schedule
Full-time
Career level
Senior-level
Remote
Remote
Benefits
Health Insurance
Dental Insurance
Vision Insurance
Job Description
Spectrum Billing Solutions offers industry-leading revenue cycle management services for healthcare providers. Our team has deep industry knowledge, technology, and experience to ensure our client’s revenue cycle is managed in the most efficient and streamlined manner.We are seeking to add an ABA Utilization Review (UR) Specialist to our growing team. The ABA UR Specialist will utilize his or her knowledge and skills to review clinical information and obtain initial and continuing authorizations for ABA and related services. The ideal candidate is passionate, motivated, detail-oriented and interested in working in a cohesive and rewarding environment.This is a fully remote or office/home hybrid position.Your Responsibilities:
- Review patient admission and clinical information to ensure medical necessity and compliance of utilization review guidelines.
- Obtain initial and continuing authorization for treatment services.
- Manage authorization denials including referral for peer review.
- Document and record all necessary information.
- Monitor and track new and ongoing authorization cases.
- Collaborate and communicate with clinical staff to ensure necessary information is obtained and timely reviews are performed.
- Assist external clients in understanding payer requirements for authorizations.
- Participate in team meetings.
- Maintain confidentiality of patient information and adhere to HIPAA regulations.
- Flexible work environment
- Competitive Salary
- A close-knit team of talented and skilled individuals.
- Growth opportunities
- Benefits – Medical, Dental, Vision
- Flexible Paid Time Off
- 401K with Company match
- Supplemental Benefits
- 3-5 years of related ABA and/or Behavioral Health experience.
- Bachelor’s or master’s degree preferred.
- Superior written and oral communication skills
- Attention to detail to ensure necessary information is captured and properly documented.
- Ability to work independently and within a team.
- Ability to multi-task, prioritize and meet expected deadlines.
- Solid understanding of insurance benefits and coverages.
- Strong computer skills (Word, Excel, billing software).
- Understanding of mental and behavioral health treatment services.
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FAQs About ABA Utilization Review (UR) Specialist Jobs at Spectrum Billing Solutions
What is the work location for this position at Spectrum Billing Solutions?
This job at Spectrum Billing Solutions is located in Skokie, IL, according to the details provided by the employer. Some roles may also include multiple work locations depending on the requirement.
What pay range can candidates expect for this role at Spectrum Billing Solutions?
Employer has not shared pay details for this role.
What employment applies to this position at Spectrum Billing Solutions?
Spectrum Billing Solutions lists this role as a Full-time position.
What experience level is required for this role at Spectrum Billing Solutions?
Spectrum Billing Solutions is looking for a candidate with "Senior-level" experience level.
Does Spectrum Billing Solutions allow remote work for this role?
Yes, this position at Spectrum Billing Solutions supports remote work, giving candidates the flexibility to work outside the primary office location.
What benefits are offered by Spectrum Billing Solutions for this role?
Spectrum Billing Solutions offers following benefits: Health Insurance, Dental Insurance, Vision Insurance, Paid Vacation, Flexible/Unlimited PTO, and 401k Matching/Retirement Savings for this position. Actual benefits may vary depending on the employer's policies and employment terms.
What is the process to apply for this position at Spectrum Billing Solutions?
You can apply for this role at Spectrum Billing Solutions either through Sonara's automated application system, which helps you submit applications 10X faster with minimal effort, or by applying manually using the direct link on the job page.