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Kentucky River Community Care

Utilization Management Specialist (KRCC - Children's Services - Remote)

Posted 2 months ago
0-2 years experience
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AI Summary

The specialist acts as a liaison between service providers and billing departments regarding approvals and OTRs. They are responsible for maintaining the utilization management database and preparing necessary reports and spreadsheets.

Position: Utilization Manager - Children's Services

Company/Location: Kentucky River Community Care/Remote Work

Employment type: Regular Full-Time

Credentials: High school diploma and one year of relevant experience preferred.

Special skills: Computer skills, Spreadsheet skills, and excellent communication required.

Primary functions:

  • Liaison between service providers and billing regarding OTRs and approvals
  • Prepare and maintain reports and spreadsheets.
  • Maintain and update utilization management database.
  • Verify insurance, prepare, review, track and update OTRs.

Shift/Days and Work Hours:  Monday - Friday 8:00am - 4:30pm

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  • Message frequency will vary depending on the application process.
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