Utilization Review Specialist

Quadrant Billing Solutions is looking to add to our growing medical billing company. We specialize in the substance abuse/mental health industry. The position we are looking to fill is Utilization Review Specialist with 3+ years clinical experience. We are looking for highly motivated, eager individuals that are looking for an opportunity to learn and grow with the company. Here are some of the requirements we are looking for:

• Ability to be aggressive in advocating on behalf of our facilities to insurance carries
• Ability to communicate effectively with clinical team to understand treatment needs of patients
• Understanding of their role in a multi-disciplinary team
• Always communicate in a professional manner in both verbal and written communication internally and with our facility’s
• Being focused throughout the day while staying organized and maintaining attention to detail
• Able to manage a minimum caseload of between 30-50 patients
• Ability to provide clinical quality assurance to assigned facilities
• Strong insight in ASAM Criteria
• Work collaboratively with insurance providers
• Be proficient with using various EMR software (must have experience with kipu)
• Exceptional customer service and both verbal and written communications skills
• Ability to grow and foster relationships with care managers as well as clinicians at the facilities
• Must be a team player and be willing to multitask
• Must be available to handle reviews after standard business hours as needed
• Attention to detail and must be organized
• Must be proficient in Google docs, Google word, and utilizing Google drive

Education Requirements:

• High School Diploma or equivalent
• Bachelors degree preferred
• Minimum 2 year experience in Utilization Review
• Minimum 4 years of experience in substance abuse or mental health treatment

Job Type: Full-time

Pay: $55,000.00 - $75,000.00 per year

Benefits:

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

Schedule:

• 8 hour shift
• Monday to Friday

Ability to Relocate:

• Boca Raton, FL: Relocate before starting work (Required)

Work Location: In person