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UM Specialist - Remote open to Louisville Metro applicants only

Posted 21 Days Ago JR-012261


Job Description:

Consideration will only be given only to candidates living in the Louisville Metro area.

ESSENTIAL JOB FUNCTIONS

  •  Verifies client’s mental health, intellectual disability, and/or substance abuse benefits and obtains initial authorization and subsequent authorizations, as determined by guarantor.
  • Verifies all commercial and Medicare Advantage plans for agency at intake and all reports related to changes to these guarantors.
  • Works daily reports to move authorizations through life cycle of authorization from intake to discharge.
  • Communicates guarantors needs to operations staff.
  • Pulls necessary information from charts for retro reviews and appeals.
  • Collaborates and educates operations staff on authorization process and status of their client’s request.
  • Implements tracking system to obtain future authorizations and any other maintenance needed by guarantor.
  • Resolves billing problems and/or receives insurance updates.

The intent of this job description is to provide a representative summary of the major duties and responsibilities performed by incumbents of this job. Incumbents may be requested to perform job-related tasks other than those specifically presented in this description.

EDUCATION

  • High School diploma: Associate degree preferred.

EXPERIENCE            

  • Two years of administrative experience.

REQUIREMENTS

  • Excellent observation skills, analytical thinking, problem-solving, and good verbal and written communication skills.
  • Basic knowledge of managed care and reimbursement concepts
  • Knowledgeable of medical terminology, CPT, HCPC, and revenue codes
  • Excellent customer service skills

PHYSICAL DEMANDS

  • The position requires lifting up to 20 pounds, with frequent lifting and/or carrying of items weighing up to 10 pounds.
  • Occasional minor discomfort from continual exposure to a video display terminal.

Within the bounds of their respective job descriptions, all staff are expected to exercise principle-centered leadership, focusing on customer service responsiveness and continuous quality improvement. Additionally, all staff are expected to develop a working knowledge of and follow all policies and procedures related to safety management and other Joint Commission standards.

Time Type:

Full time

The agency ensures all notices, employment, advertisements, information pamphlets, research reports, and similar public notices prepared and released by the agency include a statement identifying the appropriate source of funds for the project or service. (i.e. funding is in whole or in part from federal, CHFS, or other state funds)

It‘s More Than a Career; It’s a Purpose!

Join a team dedicated to transforming lives and strengthening communities. At Seven Counties Services, we are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and employees without regard to race, color, religion, sex, pregnancy (including childbirth, lactation and related medical conditions), national origin, age, physical and mental disability, marital status, sexual orientation, gender identity, gender expression, genetic information (including characteristics and testing), military and veteran status, and any other characteristic protected by applicable law.

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Competitive Compensation

Competitive salaries with regular performance reviews

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Comprehensive Benefits

Health, dental, vision, and life insurance coverage

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Professional Development

Continuing education, training, and career advancement

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Work-Life Balance

Flexible schedules, paid time off, and wellness programs

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Retirement Planning

403(b) retirement plan with employer match

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Meaningful Work

Make a real difference in your community every day

Our Cultures & Values

At Seven Counties Services, we believe that our employees are our greatest asset. We foster a culture of compassion, integrity, respect, excellence, and innovation.

Our team members work in a supportive environment where professional growth is encouraged, diversity is celebrated, and every voice matters.

Compassionate Care

We lead with empathy and understanding in everything we do

Collaborative Environment

Together we achieve more through teamwork and mutual support

Continuous Learning

Invest in your future with ongoing training and development

How Does Our Hiring Process Work?

Your journey to a meaningful career starts here

Find a job that interests you

Browse our open positions and find roles that match your skills and interests

Apply online and create a Workday account

Complete your online application and upload your resume and credentials

Speak with a member of our talent acquisition team

Connect with our recruiting team to discuss the opportunity and next steps

Interview with the hiring manager(s)

Meet with our hiring team to discuss your experience and career goals

Accept the job offer

Review and accept your offer to join the Seven Counties team

Complete Onboarding tasks

Complete onboarding and start making a difference in your community


Student Opportunities

Launch Your Career With Us

Seven Counties Services is proud to partner with universities and educational programs to provide meaningful internship and practicum experiences.

Gain hands-on experience in behavioral healthcare while making a real impact in the community.

Clinical internships for counseling and social work students

Psychology practicum and doctoral placements

Nursing student clinical rotations

Administrative and research internships