Utilization Review Specialist in Port Jervis, NY for WMC Health
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Utilization Review Specialist
Behavioral Health Utilization Review Specialists will verify insurance, obtain authorization, perform medical necessity checks, and complete insurance reviews in a timely manner for patients for the Bon Secours Charity System. One will assess each case related concern and resolves issues with regards to inpatient status and authorization and ensure discharge criteria are met. Provides excellent customer service and collaborates with clinical team to ensure optimal outcomes for patients. RESPONSIBILITIES: Performs eligibility verification for insurance using websites, One Source, and Epaces. Ensures b


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