Utilization Review Specialist jobs in United States
cer-icon
Apply on Employer Site
company-logo

Compass Health Center · 14 hours ago

Utilization Review Specialist

positionUnited States
timeFull-time
remoteRemote
seniorityEntry, Mid Level
money$45K/yr - $55K/yr

Compass Health Center is a recognized leader in crisis-level mental health, providing patient-centered care to individuals in need. The Utilization Review Specialist will obtain appropriate insurance authorization for patients to receive Behavioral Health treatment, acting as a liaison between the clinical team and insurance companies while advocating for patients' financial needs.

Health CareMedicalMedical DeviceMental Health

Responsibilities

Contacting Insurance companies to verify insurance coverage and obtaining approval of treatment as recommended by the clinical team
Collaborating with the clinical team to compile treatment plans and supporting clinical documentation
Working with all internal departments as necessary, such as Revenue Cycle and Patient Advocates
Accurately documenting Electronic Medical Records to reflect approval or denial of treatment authorization
Communicating insurance authorizations/denials and insurance needs to appropriate internal staff
Scheduling and delivering concurrent authorization reviews as required by individual insurance companies
Coordinating physicians’ reviews and appeals

Qualification

Insurance authorizationMedical terminologyElectronic Medical RecordsBehavioral Health experienceMicrosoft Office proficiencyCommunication skillsOrganizational skillsTeam collaborationCritical thinking

Required

Bachelor's Degree (preferred) or relevant experience
Previous healthcare or insurance experience
Knowledge of medical terminology and psychiatric criteria
Ability to analyze and communicate clinical information from progress, group and psychiatric chart notes
Ability to work autonomously and independently while working collaboratively as part of a team
Ability to think critically and make decisions within individual role and responsibility
Strong written and verbal skills
Strong organizational and time management skills with ability to manage workload independently
Ability to foster and maintain positive relationships externally and internally
Familiarity with Microsoft Office, Outlook, and EMR

Benefits

Comprehensive medical/dental/vision plans
401k program with company matching
Generous PTO (including competitive parental leave after 1 year of employment)
Continuous training through CEU seminars and volunteering opportunities

Company

Compass Health Center

twittertwitter
company-logo
Compass Health Center is the expert in crisis level mental health care for children, adolescents, young adults, and adults.
dateFounded in 2011
location
Chicago, Illinois, USA
people-size501-1000 employees
web-link
https://compasshealthcenter.net

Funding

Current Stage
Late Stage

Leadership Team

leader-logo
David Schreiber
CEO and Founder
linkedin

Recent News

BizTimes Milwaukee
Compass Health Center prepares to open new Brookfield location
2025-08-13
Company data provided by crunchbase