Impactful Utilization Review Specialist

Posted 3 days ago

jobviteSpokane (WA)

SENIORITY

Mid

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About the role

Pioneer Human Services in Spokane, WA is seeking an Utilization Review Administrator to help control costs, improve revenue collection, and ensure data integrity for timely payments. You will review medical records, monitor utilization patterns, authorizations, bed boards, and collaborate with clinical, billing and UM staff to ensure funding and compliance with payer requirements. Requirements include a high school diploma/GED and at least 1 year in substance use, medical or mental health

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