ADMINISTRATIVE SPECIALIST - UTILIZATION MGMT

Job Description

Job Description

Administrative Specialist – Utilization Management

Southern Highlands Community Mental Health Center
Location: Mercer County, WV
Schedule: Full-Time

Position Summary

Southern Highlands Community Mental Health Center is seeking a dependable, organized, and detail-oriented Administrative Specialist – Utilization Management to join our team in Mercer County.

The Utilization Management Administrative Specialist provides administrative support for the authorization and review process. This position assists with tracking approved services, maintaining accurate documentation, communicating with insurance providers and clinical staff, and helping ensure services meet medical-necessity and reimbursement requirements.

The ideal candidate will have strong organizational and communication skills, be comfortable working with detailed and confidential information, and be able to effectively coordinate with both clinical staff and outside insurance providers.

Education & Experience

• High school diploma or equivalent required.
• Associate’s Degree or higher preferred. 
• Proficiency in Microsoft Office, including Word and Excel.
• Minimum of 2 years of administrative experience preferred. 
• Experience in healthcare, behavioral health, utilization management, or insurance authorization processes preferred. 
• Ability to maintain confidentiality and accuracy.
• Strong organizational, communication, and time-management skills.
• Valid driver’s license and reliable transportation.
• Must be able to successfully pass required background checks and drug screening.

Why Join Southern Highlands?

At Southern Highlands Community Mental Health Center, our employees play an important role in supporting quality behavioral health services throughout our communities. This position is a great opportunity for someone who enjoys administrative work, pays close attention to detail, and wants to contribute to a team focused on helping others.