Utilization Review Technician jobs in Racine, WI

Utilization Review Technician conducts utilization reviews to determine if patients are receiving care appropriate to illness or condition. Monitors patient charts and records to evaluate care concurrent with the patients treatment. Being a Utilization Review Technician reviews treatment plans and status of approvals from insurers. Collects and complies data as required and according to applicable policies and regulations. Additionally, Utilization Review Technician consults with nurses and physicians as needed. Position is non-RN. May require an associate degree or its equivalent. Typically reports to a supervisor. May require Registered Health Information Technician (RHIT). The Utilization Review Technician gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Utilization Review Technician typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)

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Administrative Assistant for Utilization Review
  • LAKE BEHAVIORAL HOSPITAL
  • Waukegan, IL OTHER
  • Job Details

    Job Location:    Lake Behavioral Hospital - Waukegan, IL
    Position Type:    Full-Time/Part-Time
    Salary Range:    $19.00 - $26.00 Hourly
    Job Shift:    Day

    Description

    JOIN OUR TEAM AS A Administrative Assistant – Utilization Review – Part Time

     

    Your Work Matters How will you make a difference?

     

    The Administrative Assistant is responsible for providing administrative support for the Utilization Management department, including performing clerical duties, attending departmental meetings, coordinating staff activities, staff educational files and providing support for the Director of Clinical Programming.

     

    Schedule: Monday – Friday flexiable hours ( 8am–1pm) or Monday – Thursday (8am- 2pm)

     

    Your Experience Matters What we’re looking for:

     

    • Education: Associate Degree in Business Administration or related field preferred; or an equivalent combination of education and experience.
    • Experience: At least one (1) year experience as an Administrative Assistant in a health care setting    preferred in a health care setting; or combination of education, training and experience.
    • Additional Requirements: Must be able to type at least 65 w.p.m.; knowledge of Word and Excel software programs; and experience as a mental health technician desired. Ability to work overtime and flexible hours, as requested.

     

    PRIMARY RESPONSIBILITIES

     

    Primary duties may include, but are not limited:

    • Completes frontline and clerical support to the Utilization Review team in processing daily, weekly, and monthly reports
    • Managing incoming calls or incoming emails from insurance companies and route them appropriately.
    • Follow-up on appeal submissions to determine status.
    • Develops and maintains positive customer relations and coordinates with various functions within the company to ensure clinical requests and questions are handled appropriately and in a timely manner.
    • Verify patient insurance eligibility as needed
    • Complete follow-up calls for Utilization Review Coordinators to maintain compliance on authorization timeframes.
    • Provide support for documentation uploads of authorizations.
    • Troubleshoot for missing documentation as requested.
    • Responds to tasks and written request from coordinators, providers and internal departments.

     

    • Open and distribute mail for the department.
    • Order supplies for the department, maintain a cost-effective and efficient office.
    • Consistently prioritize workloads to ensure daily work is completed.
    • Adhere to facility, department and Corporate Personnel Policies and Procedures.

     

     

     

    Your Care Matters What we provide for our team:

     

    • 401(k) matching
    • Health insurance
    • 100% company-paid life insurance coverage up to 2x your annual salary
    • Vision insurance
    • Dental insurance
    • 100% company-paid long term disability insurance
    • Paid time off
    • Cafeteria on site discounted meals
    • Employee engagement events
    • Employee assistance program
    • Employee recognition program
    • Free parking

    What sets us apart:

    • Career & training development opportunities
    • Dynamic and inclusive work environment
    • Engaged management team dedicated to your success
    • A guiding mission and set of values that serve as both our north star and yours, anchoring our collective purpose and aspirations

     

    Disclaimer: Benefits are subject to change at the discretion of Lake Behavioral Hospital.

     

    Compensation:

    This is a Part-Time role and the expected compensation range for this role is $19.00 -$26.00 hourly.  We’re eager to engage with all qualified candidates, and consideration will be provided to experience and skill level. Join us as our Administrative Assistant for Utilization Review.

     

    Get to know us Outstanding Care, Compassionate People, Unparalleled Service

     

    Discover a fulfilling career at Lake Behavioral Hospital (LBH)!

     

    We are a 161-bed acute care facility located in Waukegan, IL and has been providing mental health treatment to the community and the state of Illinois since 2018. We are dedicated to offering services to meet the ever-changing emotion and behavioral healthcare needs of adolescents, adults, and their families. We offer specialized inpatient programs and outpatient services proven to decrease symptoms of mental illness and we are committed to help people live healthier lives. Our compassionate and experienced team of psychiatrists, licensed therapists, nurses and support staff are here to create an atmosphere of health, hope, and healing.

     

    Join us in providing exceptional care and contributing to the well-being of individuals and families in need, and be a part of the transformative healthcare experience at Hospital for Behavioral Medicine.

     

    • To learn more about LBH, visit us at: https://www.lakebehavioralhospital.com/

     

     

     

    TOGETHER WE CAN MAKE POSITIVE I.M.P.A.C.T.S.

    Individuals Maintaining Positive Attitude and Commitment To Service

     

    ____________________________________________________________

    At Lake Behavioral Hospital, we value a diverse, inclusive workforce and provide equal employment opportunities for all applicants and employees. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, gender identity or expression, age, marital status, veteran status, disability status, pregnancy, parental status, genetic information, political affiliation, or any other status protected by the laws or regulations in the locations where we operate. Accommodations are available for applicants with disabilities.

     

    Qualifications


  • 16 Days Ago

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Utilization Review Specialist - Remote
  • Waukegan Hospital Corporation
  • Waukegan, IL FULL_TIME
  • The Utilization Review Specialist assumes responsibility and accountability for admission and concurrent reviews assuring the prevention of denials from all payers, as well as appeals of all accounts ...
  • 12 Days Ago

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Utilization Review Specialist - Remote
  • Vista Health System
  • Waukegan, IL FULL_TIME
  • The Utilization Review Specialist assumes responsibility and accountability for admission and concurrent reviews assuring the prevention of denials from all payers, as well as appeals of all accounts ...
  • 14 Days Ago

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Utilization Review Specialist - Remote
  • Vista Health System
  • Waukegan, IL FULL_TIME
  • The Utilization Review Specialist assumes responsibility and accountability for admission and concurrent reviews assuring the prevention of denials from all payers, as well as appeals of all accounts ...
  • 14 Days Ago

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Utilization Review Coordinator (UR)
  • LAKE BEHAVIORAL HOSPITAL
  • Waukegan, IL OTHER
  • Job Details Job Location: Lake Behavioral Hospital - Waukegan, IL Position Type: Full Time Salary Range: $53,000.00 Salary Job Shift: Day DescriptionJOIN OUR TEAM AS A Utilization Review Coordinator Y...
  • 1 Month Ago

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Director, Case Management and Utilization Review
  • Vista Health System
  • Waukegan, IL FULL_TIME
  • Responsible for providing the overall leadership, management & direction of Case Management operations and staff, and for producing successful outcomes and results. Directs and implements case managem...
  • 1 Month Ago

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0 Utilization Review Technician jobs found in Racine, WI area

A
Technician
  • American Power Systems Llc
  • Racine, WI
  • . Must submit a resume Travel is Required Level 1 $26.00-$28.00/hr Level 2 -$29.00-$31.00/hr Level 3 $34.00-$36.00/hr Le...
  • 4/23/2024 12:00:00 AM

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Technician
  • American Power Systems Llc
  • Sturtevant, WI
  • . Must submit a resume Travel is Required Level 1 $26.00-$28.00/hr Level 2 -$29.00-$31.00/hr Level 3 $34.00-$36.00/hr Le...
  • 4/23/2024 12:00:00 AM

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Technician
  • American Power Systems Llc
  • Caledonia, WI
  • . Must submit a resume Travel is Required Level 1 $26.00-$28.00/hr Level 2 -$29.00-$31.00/hr Level 3 $34.00-$36.00/hr Le...
  • 4/23/2024 12:00:00 AM

A
Technician
  • American Power Systems Llc
  • Oak Creek, WI
  • . Must submit a resume Travel is Required Level 1 $26.00-$28.00/hr Level 2 -$29.00-$31.00/hr Level 3 $34.00-$36.00/hr Le...
  • 4/23/2024 12:00:00 AM

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Technician
  • American Power Systems Llc
  • Union Grove, WI
  • . Must submit a resume Travel is Required Level 1 $26.00-$28.00/hr Level 2 -$29.00-$31.00/hr Level 3 $34.00-$36.00/hr Le...
  • 4/23/2024 12:00:00 AM

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Senior Technical Specialist, Chemistry
  • S.C. Johnson & Son, Inc.
  • Racine, WI
  • SC JOHNSON IS A FIFTH-GENERATION FAMILY COMPANY BUILT ON THE SPIRIT OF OUR PEOPLE. We have been leading with purpose for...
  • 4/22/2024 12:00:00 AM

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Senior Technical Specialist, Chemistry
  • S. C. Johnson & Son, Inc.
  • Racine, WI
  • SC JOHNSON IS A FIFTH-GENERATION FAMILY COMPANY BUILT ON THE SPIRIT OF OUR PEOPLE. We have been leading with purpose for...
  • 4/22/2024 12:00:00 AM

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IT Technical Specialist
  • AbbVie
  • North Chicago, IL
  • Company Description AbbVie's mission is to discover and deliver innovative medicines and solutions that solve serious he...
  • 4/20/2024 12:00:00 AM

Racine (/rəˈsiːn/ rə-SEEN) is a city in and the county seat of Racine County, Wisconsin, United States. It is located on the shore of Lake Michigan at the mouth of the Root River. Racine is located 22 miles south of Milwaukee. As of the 2010 U.S. census, the city had a population of 78,860, making it the fifth-largest city in Wisconsin. Its median home price of $103,625 makes it one of the most affordable cities in Wisconsin to buy a home. In January 2017, it was rated "the most affordable place to live in the world" by the Demographia International Housing Affordability survey. Racine is th...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Utilization Review Technician jobs
$61,299 to $85,532
Racine, Wisconsin area prices
were up 1.8% from a year ago

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