JOB SUMMARY:

The Utilization Review and Intake Specialist assists patients and families access treatment by providing information, conducting pre-admission screenings/assessments, and coordinating admissions to the clinic.  They obtain insurance information on behalf of prospective patients and work with the clinical team to advocate for coverage by presenting current symptoms, interventions, the treatment plan, and estimated length of stay information to the patient’s insurance/managed care company. If needed, the utilization review and intake specialist will coordinate physician reviews, and in cases of insurance denials, will communicate financial implications to patients/families as well as initiate the appeals process on behalf of the patient/family. The specialist advocates on behalf of the patient to overcome barriers to treatment.

BENEFITS:  

• Comprehensive benefits package (medical, dental, vision, etc.) for positions of 30 hours or more per week.  
• Childcare reimbursement offered for positions of 20 hours or more per week.   
• Gainshare bonus based on company goals.  
• 401k with matching contribution that is fully vested from day 1. 
• Loan relief, tuition reimbursement and scholarship opportunities.

 ABOUT ROGERS BEHAVIORAL HEALTH  

Rogers Behavioral Health is a nationally recognized, not-for-profit provider of highly specialized psychiatric care. Rogers offers evidence-based treatment for children, teens, and adults with OCD and anxiety, addiction, depression and other mood disorders, eating disorders, trauma, and PTSD. Backed by more than a century of experience, Rogers is leading the way on measurement-based care and use of clinical outcomes.   

Rogers provides residential care and has three inpatient facilities located in southeastern Wisconsin. Rogers also offers outpatient services in a growing network of communities across the U.S.  

The System also includes Rogers Behavioral Health Foundation, which supports patient care, programs, and research; and Rogers In Health, an initiative that works to eliminate the stigma of mental health challenges. For more information, visit rogersbh.org. 

To apply, please visit rogersbh.org/careers and complete an online application. 

EOE/MFDV 

Required Skills

EDUCATION/TRAINING REQUIREMENTS:

1. Bachelor’s Degree in Behavioral Sciences, Criminal Justice, or related field.
2. Two (2) years of healthcare setting/psychiatric clinic and/or insurance experience is required.
3. Experience and comfort working autonomously and independently is required.
4. Use of insurance UR or Case Management software or experience with electronic health record system is preferred. Cerner® experience is a plus.
5. Knowledge of medical terminology and psychiatric clinical criteria is preferred.
6. Extensive knowledge of managed care, Medicare, and Medicaid.
7. Knowledge of DSM, medical, mental health, and chemical dependency diagnosis and treatment process.
8. Computer skills are required, including word processing, spreadsheets, and data processing.
9. Knowledge of Joint Commission documentation and medical records standards and the ability to maintain accurate records.

Required Experience

Education/Training Requirements:

1. Bachelor’s Degree in Behavioral Sciences, Criminal Justice, or related field.
2. Two (2) years of healthcare setting/psychiatric clinic and/or insurance experience is required.
3. Experience and comfort working autonomously and independently is required.
4. Use of insurance UR or Case Management software or experience with electronic health record system is preferred. Cerner® experience is a plus.
5. Knowledge of medical terminology and psychiatric clinical criteria is preferred.
6. Extensive knowledge of managed care, Medicare, and Medicaid.
7. Knowledge of DSM, medical, mental health, and chemical dependency diagnosis and treatment process.
8. Computer skills are required, including word processing, spreadsheets, and data processing.
9. Knowledge of Joint Commission documentation and medical records standards and the ability to maintain accurate records.