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)
We’re looking for people who are excited to join our passionate, authentic, and courageous team. We’re uncompromising in the pursuit of excellence: our core values are more than just words on a page - we live and breathe them. To work at Landmark Recovery is to make a promise to help our patients achieve their wildest dreams. Our mission is to unlock human potential and save a million lives over the next hundred years.
Landmark Recovery operates Residential Treatment Programs for individuals with Substance Abuse Disorder. We seek not merely to restore sobriety, but to transform our patients’ worlds from a state of everlasting darkness to vibrant technicolor. We believe that treatment is local, individualized, holistic and relational. We’re currently in several states and are rapidly growing nationally. Learn more at https://landmarkrecovery.com/.
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Summary
Associate Utilization Review Coordinators will perform all functions of utilization review. The coordinator functions as a clinical liaison between payers and facilities, providing information and feedback to assist in optimum patient care reimbursement. Associate Utilization Review Coordinators collaborate and partner with Revenue Cycle Management to ensure all steps in the process are managed effectively.
Responsibilities:
Experience: