Job description
Overview:
Utilization Review Clerk
Westpark Springs is a 72-bed behavioral hospital located near Richmond, Texas. The hospital offers inpatient and outpatient mental health and addiction treatment to adults, adolescents and their families. At Westpark Springs we are dedicated to Changing People’s Lives®.
The UR Clerk assesses the needs of the UR department in collaboration with the UR Manager. The clerk assists in faxing reviews to managed care companies, assists the UR Manager with all data reporting as directed, and assists in scheduling and following up on all peer-to-peer reviews. The clerk monitors all pre-authorizations conducted by the assessment department for admissions to inpatient and outpatient treatment, ensuring pre-authorization was obtained and entered into the patient database. The clerk scans documentation into the patient database and ensures that all Medicare certification letters are signed by the appropriate provider.
Members of our team Enjoy:
The UR Clerk assesses the needs of the UR department in collaboration with the UR Manager. The clerk assists in faxing reviews to managed care companies, assists the UR Manager with all data reporting as directed, and assists in scheduling and following up on all peer-to-peer reviews. The clerk monitors all pre-authorizations conducted by the assessment department for admissions to inpatient and outpatient treatment, ensuring pre-authorization was obtained and entered into the patient database. The clerk scans documentation into the patient database and ensures that all Medicare certification letters are signed by the appropriate provider. Position Details:
Utilization Review Clerk
(Part-time)
Westpark Springs is a 72-bed behavioral hospital located near Richmond, Texas. The hospital offers inpatient and outpatient mental health and addiction treatment to adults, adolescents and their families. At Westpark Springs we are dedicated to Changing People’s Lives®.
The UR Clerk assesses the needs of the UR department in collaboration with the UR Manager. The clerk assists in faxing reviews to managed care companies, assists the UR Manager with all data reporting as directed, and assists in scheduling and following up on all peer-to-peer reviews. The clerk monitors all pre-authorizations conducted by the assessment department for admissions to inpatient and outpatient treatment, ensuring pre-authorization was obtained and entered into the patient database. The clerk scans documentation into the patient database and ensures that all Medicare certification letters are signed by the appropriate provider.
Members of our team Enjoy:
- Working with a highly engaged staff
- Healthy staffing levels
- Flexible scheduling
- Career growth
- Competitive compensation
The UR Clerk assesses the needs of the UR department in collaboration with the UR Manager. The clerk assists in faxing reviews to managed care companies, assists the UR Manager with all data reporting as directed, and assists in scheduling and following up on all peer-to-peer reviews. The clerk monitors all pre-authorizations conducted by the assessment department for admissions to inpatient and outpatient treatment, ensuring pre-authorization was obtained and entered into the patient database. The clerk scans documentation into the patient database and ensures that all Medicare certification letters are signed by the appropriate provider.
- Provides clerical support to the UR Manager and UR Team. Enters information and scans documentation into the Medik, patient database system accurately.
- Maintains appropriate stock of paperwork/forms and supplies to support the UR Department.
- Checks on authorization status with the assessment department.
- Assists other units and departments, as needed.
- Sends appropriate documentation to managed care companies in the appropriate timeframe.
- Provides assistance with discharges. Calling in and faxing in discharge clinical information.
- Enters information accurately on the UR spreadsheet.
- Assists in scheduling and following up on peer to peer reviews.
- Assists the UR Manager with all data reporting as directed.
- Ensures all Medicare cert letters are signed by the appropriate provider
- Assists in filing and maintaining the organization and accuracy of the filing system.
Education:
- High school degree or equivalent preferred
Experience:
- Previous experience in a psychiatric health care facility or experience in office support and organization preferred.
License: Valid driver’s license
Additional Requirements: CPR certification and Crisis Prevention Training (CPI) within 30 days. May be required to work flexible hours and overtime.
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