Patient Advocate

 

Description: 

You will be responsible pre-authorizations and utilization reviews of behavioral health and substance abuse cases.   You will advocate for our clients patients with health insurers to obtain the authorization for substance abuse and behavioral health treatment.

Responsibilities:

  • Obtain initial pre-authorization with insurance companies for inpatient & outpatient   admission for chemical   dependency and psychiatric patients

  • Obtain initial pre-authorization with insurance companies for inpatient & outpatient   admission for chemical    dependency and psychiatric patients

  • Perform utilization management, utilization review or concurrent reviews

  • Identify ways to add value to treatment plans and consulting with facility staff or outpatient care providers on those ideas  

  • Effectively influencing facility treatment toward best practices.

Qualifications:

  • Licensed Master's degree in Psychology, Social Work, Counseling or Marriage or Family Counseling, or         Licensed Ph.D., or an RN with 2 or more years of experience in behavioral health

  • Licenses must be active and unrestricted

  • 3+ years of Managed Care and/or Clinical experience required

  • Pre-authorization experience

  • Utilization Management/Review experience

Specifications:

  • Potential to work remotely from home after successful completion of 6 month probationary period

  • Full time 40 hr/week M-F; Occasional on-call weekends during times of high volume

Contact Us
Illuminate Billing Advocates

720 North 530 East

Orem, UT 84057

T: 801-990-1777
F: 888-855-2850

 

contact@illuminatebilling.com

© 2015 Illuminate Billing Advocates