Branch Review Specialist jobs in Palm Bay, FL

Join our team of supportive, fun and goal-oriented people. We get things done but enjoy participating in the extras Element offers like, personalized office decoration contest for holidays, monthly birthday lunches, employee of the month and year with bonuses, special event Holiday party, casual work environment (jean friendly), favorite T-shirt Friday’s, decorate your office with your own vibe, along with a stocked coffee & snack bar (with healthy snacks too). We care about the work life balance and encourage wellness.

Element Medical Billing is a premier 3rd party substance abuse billing company looking for a dedicated individual to join our Utilization Review team. We are looking for UR specialists that have experience in all levels of care per ASAM criteria.

Job Functions / Requirements:

- Extensive Knowledge of admissions, precertification, concurrent reviews, peer to peers and discharge reviews. Ability to perform all of these functions.

- Extensive Knowledge on behavioral health

- Extensive clinical knowledge

- Exceptional communication skills. Ability to communicate with our billing/collections team as well as the facilities clinicians regarding UR issues and updates.

- Keeping clinicians aware of concurrent review dates, documentation required for these dates and any information needed in order to perform an effective review.

- General knowledge of CPT codes and coding

- Ability to navigate and use EMR systems such as KIPU

- Ability to assist clinicians with documentation recommendations pertinent to longer length of stays

- Possession of clinical knowledge relevant to ASAM guidelines as well as specific payor guidelines required for certs

- Perform certs in a timely manner with the possibility of 24/7 availability specifically for detox precert on weekends. (rarely happens)

- Knowledge of HIPAA and protecting patient data.

***Compensation based on experience***

Job Type: Full-time

Salary: $45,000.00 - $55,000.00 per year

Benefits:

• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Schedule:

• Monday to Friday 9:00am to 5pm

Education:

• High school or equivalent (Preferred)

Experience:

• Utilization review: 1 year (Preferred)

We believe everyone should be treated equally regardless of race, sex, gender identification, sexual orientation, national origin, native language, religion, age, disability, marital status, citizenship, genetic information, pregnancy, or any other characteristic protected by law.

Job Type: Full-time

Pay: $45,000.00 - $55,000.00 per year

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

Experience:

• EMR systems such as KIPU: 1 year (Required)
• extensive clinical/behavioral health: 1 year (Required)
• extensive admission, precert, concurrent reviews: 1 year (Required)

Ability to Commute:

• Port Saint Lucie, FL 34952 (Required)

Work Location: In person