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