Inpatient Utilization Management Specialist
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CHARLOTTE BEHAVIORAL HEALTH CARE INC
Punta Gorda, FL, US
Summary
The specialist will identify new patients in crisis services, verify their insurance coverage, and communicate financial responsibilities to them. They are also responsible for providing clinical information to third-party payers and drafting insurance appeals to ensure treatment coverage.
Job Description
Job Details: Job Location: 1700 EDUCATION AVE - PUNTA GORDA, FL, Position Type: Part Time, Education Level: High School, Salary Range: $16.50 - $18.50Hourly, Travel Percentage: Negligible, Job Shift: Day, Job Category: Insurance, Sign-on Bonus: $500
Work days: Saturday and Sunday
Participate in daily treatment team meetings in Crisis Services programs for the purpose of identifying new patients and communicating with them to determine financial income information, behavioral health and Substance Abuse insurance coverage as well as prescription medication insurance coverage.
Attempt to obtain copies of insurance cards or other documentation from the patient or patient’s family/friends should intake staff be unable to procure at admission.
Verify benefit coverage for all identified insurance plans, and communicate responsibilities to patients.
Provide timely and accurate clinical information to third party payers as needed to assure coverage for inpatient treatment services.
Provide feedback to nursing and administrative staff regarding need for documentation, denial of payment for patient treatment, or need for doctor-to-doctor consultation to assure coverage of treatment.
Draft insurance appeals as needed.
Responsible to assist in the reporting of ACSU Daily Census reporting, required by CFBHN.
Benefits
Full-time
Dental, vision, health, and life insurance.
Employee Assistance Program (EAP).
Employer sponsored contribution to Health Savings Account (HSA), with qualifying insurance plan.
Paid Time Off (PTO).
11 paid holidays.
Must meet eligibility requirements
403b Retirement Plan, with 9% employer contribution for those who meet eligibility requirements.
Tuition reimbursement, Public Service Loan Forgiveness (PSLF) eligible, and Health Resources and Services Administration (HRSA) loan repayment eligible for qualifying staff
Qualifications:
High school diploma or equivalent.
Minimum of two (2) years’ experience in behavioral health field, preferred.
Familiarity with health insurance, managed care organizations, third party payers and ASAM level of care criteria preferred.
Preferred UM experience in a health related field.
Ability to pass a level II Background clearance and drug test.
For more information regarding the Level II Background Screening click here: https://info.flclearinghouse.com
Charlotte Behavioral Health Care is where our community comes to find hope and the courage that has been lost. As an agency family, we are compassionate about implementing successful positive changes that make living hold value once again. During life’s most difficult times and uncertainty, our committed, professional staff is privileged to assist our neighbors in Southwest Florida including; Port Charlotte, Punta Gorda, Sarasota, DeSoto and North Port.
We opened our doors in 1969, over 40 years ago and have since been a trusted source of hope, help and healing. Charlotte Behavioral Health Care has programs and services in an array of expert care. This includes Crisis, Detoxification, Adult & Children Psychiatrist, Case Management and Court Services.
Individualized treatment plans are developed through a collaborative effort between our consumers and our devoted and experienced staff. More than 10,000 residents reach out annually to utilize the services and programs offered by Charlotte Behavioral Health Care. We offer individualized compassionate care and welcome persons with behavioral health issues, addictions and co-occurring disorders to a personal path of recovery through proven treatment models.
Through our goal of optimal behavioral health and improved quality of life for all children, adolescents, adults and families, we can build wellness together. Life is a gift and having hope is how we live it...
Founded
1969
Company size
201-500 employees
Industry
Non-Profit Organizations and NGOs
Org type
Nonprofit
Headquarters
Port Charlotte, FL
Charlotte Behavioral Health Care is where our community comes to find hope and the courage that has been lost. As an agency family, we are compassionate about implementing successful positive changes that make living hold value once again. During life’s most difficult times and uncertainty, our committed, professional staff is privileged to assist our neighbors in Southwest Florida including; Port Charlotte, Punta Gorda, Sarasota, DeSoto and North Port.
We opened our doors in 1969, over 40 years ago and have since been a trusted source of hope, help and healing. Charlotte Behavioral Health Care has programs and services in an array of expert care. This includes Crisis, Detoxification, Adult & Children Psychiatrist, Case Management and Court Services.
Individualized treatment plans are developed through a collaborative effort between our consumers and our devoted and experienced staff. More than 10,000 residents reach out annually to utilize the services and programs offered by Charlotte Behavioral Health Care. We offer individualized compassionate care and welcome persons with behavioral health issues, addictions and co-occurring disorders to a personal path of recovery through proven treatment models.
Through our goal of optimal behavioral health and improved quality of life for all children, adolescents, adults and families, we can build wellness together. Life is a gift and having hope is how we live it...
Founded
1969
Company size
201-500 employees
Industry
Non-Profit Organizations and NGOs
Org type
Nonprofit
Headquarters
Port Charlotte, FL
