Billing and Utilization Coordinator - CSU jobs in United States
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Lakeview Center · 1 week ago

Billing and Utilization Coordinator - CSU

Lakeview Center provides comprehensive behavioral health care to adults and children with various mental health issues. The Billing and Utilization Coordinator is responsible for performing medical necessity and benefit review requests, monitoring compliance, and facilitating daily needs of staff and programs.

Health CareMedicalMental HealthNon ProfitPsychology

Responsibilities

To perform medical necessity and benefit review requests in accordance with national standards, contractual requirements, and a member’s benefit coverage
To Monitor and maintain census needs and informed all parties of insurance and documentation compliance
Pull team meetings as designed by the program leaders
Inform teams of billing and or payor sources need to comply with each source requirement
Act as the Facilitator coordinator for day-to-day needs of staff and program

Qualification

Utilization Review processMicrosoft OfficeOrganizational skillsTime managementOral communicationWritten communicationFlexibilityDetail orientedIndependent work

Required

Associate (AA) degree
High school diploma or GED with three (3) years related experience may be substituted
Must have good oral and written skills
Proficient in Microsoft Office (Outlook, Word, Excel and PowerPoint)
Must be able to work independently
Must be detail oriented and have strong organizational and time management skills
Adaptive to a high pace and changing environment- flexibility in assignment
Proficient in Utilization Review process including benefit interpretation, contract language, medical and policy review and administrative support
Must be able to pass organization screening requirements, including state or federal background screenings as appropriate

Preferred

1+ year experience in a utilization management team within managed care setting is preferred

Benefits

Medical
Dental
Vision
Basic Life and AD&D
Voluntary Term Life
Employer Paid Long Term Disability
Flexible Spending Accounts and Health Savings Account
Retirement Savings Plan (RSP)
Employee Assistance Program
Accident Insurance
Group Critical Illness Insurance
Individual Short-Term Disability Insurance
Paid Time Off
Identity Theft Protection
Employee Discount Program
Teladoc

Company

Lakeview Center

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Lakeview Center is a nonprofit organization that provides psychological, access behavioral health, Rx refills and mental health services.

Funding

Current Stage
Late Stage
Total Funding
$0.03M
Key Investors
Florida Blue Foundation
2024-08-26Grant
2024-04-04Grant· $0.03M

Leadership Team

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Krystle George
Recruiting Partner
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Nancy Doran
Recruiting Partner
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Company data provided by crunchbase