Utilization Review Specialist

Life at Compass Careers That Change Lives Compass Health Center is a recognized leader in crisis-level mental health treatment, bringing passion, connection, and patient-centered care to the PartialHospitalizationand Intensive Outpatient space (PHP/IOP). Based in Chicagoland, we serve hundreds of patients every day, ranging from ages 5, through adolescence, and all stages of adulthood in our onsite facilities and flourishing virtual programming. Compass fills a critical gap between outpatient therapy and inpatient care through an intermediate level of behavioral healthcare. Beyond our genuine desire to help our patients get better, we are powered by the relentless efforts of our passionate team. View Open Positions Current Employees Apply Here What we love about working here About Compass Founded by two Child and Adolescent Psychiatrists and remains physician-led Treating hundreds of patients in need of a higher level of care per day (Children, Adolescents, Young Adults and Adults) Focused on Mood & Anxiety Disorders, Obsessive Compulsive Disorder, Trauma, PTSD, Chronic Pain/Illness, and co-occurring Substance Use Home to 850+ mission-driven employees 6 world-class behavioral health facilities in Illinois, Maryland, Wisconsin, and Minnesota. Compass Virtual programming meets patients wherever they are in the states of Illinois, Wisconsin, Minnesota, Maryland, DC, and Virginia What Sets Compass Apart We strive to provide our employees with everything they need not only to successfully perform their roles but also to thrive as happy and healthy individuals. Here’s what sets us apart and makes us an employer of choice in the behavioral health space. Strong commitment to training, mentorship, and continuing education A team-based and supportive environment Defined career paths and internal mobility opportunities that enable personal and professional growth Opportunity to work alongside the best and brightest Our Core Values A company’s core values act much like our personal values do – they help us to realign focus, guide our culture, and drive our mission. Compass’ carefully chosen core values are rooted in the individuals who put them into action each and every day: Compass employees. Most importantly, you may notice many of Compass’ core values align with your own – and that’s how it should be. It’s important to feel connected and aligned with a company’s core values. Compass wouldn’t have it any other way. Patient-Centered Care We can confidently promise that the patient always comes first in everything we do. Cultural Humility We seek out diverse perspectives so we can continuously learn, grow, and deliver the most inclusive care together. Teamwork We believe that what we can accomplish as a team far exceeds what we can accomplish alone. Connection We take great pride in fostering meaningful connections with our patients, communities, and each other. Innovation We continuously seek new and fresh ways to expand our impact and enhance the lives of our communities. Passion To us, this is more than a job – it’s a calling. Agility In our work, change is vital. We welcome the challenge and adapt with open arms. Continuous Improvement We’re never done learning. We pursue progress, embrace challenges, and grow from mistakes. Diversity, Equity & Inclusion Our patients come from all walks of life, and so do we. We’re committed to building and nurturing a team that represents a variety of backgrounds, perspectives, and skills. We celebrate our differences and believe that the more inclusive we are, the better our work and our patient care will be. Benefits & Perks We know that you will be dedicated to your purpose here. We look at that investment as a two-way street. Here’s how we’ll support you on your journey. Health & Personal Wellness We partner with high quality insurance providers to equip you with comprehensive medical, dental, and vision coverage Financial Wellness You’ll receive competitive compensation, opportunity for annual merit increases, and a 401(k) plan that includes a 4% employer match Time Off Our generous paid time off (PTO) package gives you the opportunity to disconnect, relax, and come back refreshed Family Your family is part of the Compass community, which is why we offer generous parental leave plans to our staff Learning & Development We invest in your future – This includes access to best-in-class CEUs, free supervision for those working towards licensure, and ample opportunities to expand your skillset Career We are committed to staff having the opportunity to grow their careers here. Over 70% of our current leadership positions were filled through internal promotions. Hear from Compass Curious about a day in the life of our therapists? Check out the videos below, straight from the source! Open Positions Interested? We’d love to hear from you! Check out our current job openings below. Don’t see exactly what you’re looking for? Check out our General Opportunities section below to learn more. If you are a current employee wanting to apply for a different position, clickhere . Back to jobs Utilization Review Specialist Remote Weekly outpatient therapy isn't always enough, and a trip to the ER isn't the only answer. Patients and their families rely on CompassHealth Center whenincrisis – every day, wehelp people overcome depression, anxiety, suicidality, obsessions/compulsions, trauma, chronic pain, and other obstacles in order for our patients to live freely. About This Role We are seeking a REMOTE Utilization Review Specialist to obtain appropriate insurance authorization for our patients to receive Behavioral Health treatment at high levels of care. The UR Specialist will act as the liaison between the clinical team and the insurance company, facilitating and maintaining insurance approval through a patient’s treatment at Compass Health Center. This person will advocate on behalf of the patient to overcome financial barriers to treatment. Our dedicated operations teams work behind the scenes to bring our shared mission to life. Each department delivers their own set of strengths which empower our clinicians to focus on their expertise, and ultimately perform the meaningful work that we do. What You’ll Do: Contacting Insurance companies to verify insurance coverage and obtaining approval of treatment as recommended by the clinical team. Collaborating with the clinical team to compile treatment plans and supporting clinical documentation. Working with all internal departments as necessary, such as Revenue Cycle and Patient Advocates. Accurately documenting Electronic Medical Records to reflect approval or denial of treatment authorization. Communicating insurance authorizations/denials and insurance needs to appropriate internal staff. Scheduling and delivering concurrent authorization reviews as required by individual insurance companies. Coordinating physicians’ reviews and appeals. Who You Are: Bachelor’s Degree (preferred) or relevant experience Previous healthcare or insurance experience Knowledge of medical terminology and psychiatric criteria Have the ability to analyze and communicate clinical information from progress, group and psychiatric chart notes. Have the ability to work autonomously and independently while working collaboratively as part of a team Have the ability to think critically and make decisions within individual role and responsibility Possess strong written and verbal skills Have strong organizational and time management skills with ability to manage workload independently Have the ability to foster and maintain positive relationships externally and internally Familiarity with Microsoft Office, Outlook, and EMR We are committed to a fair and equitable work environment. The expected compensation range for this role is below. This range includes multiple career path levels across the organization; where you fall in the range is dependent upon a number of factors including, but not limited to, your years of experience, type of experience, location, and education/certifications. Compass reserves the right to update these ranges. Compensation $45,000 - $55,000 USD Who We Are Compass Health Center is a recognized leader in crisis-level mental health, bringing passion, connection, and patient-centered care to the PartialHospitalizationand Intensive Outpatient space (PHP/IOP). Based in Chicagoland, we serve hundreds of patients every day, ranging from ages 5 through adulthood, in our onsite facilities or through our flourishing virtual programming. Compass fills a critical gap between outpatient and inpatient care through an intermediate level of Behavioral Healthcare. A few more things we want you to know: our values are super important to us, and hopefully will be to you, too. Cultural humility, teamwork, continuous improvement, connection, patient centered care, passion, innovation, and agility should be your power sources. Joining Compass is an opportunity to feel fulfilled through a joint mission towards healing our communities. Benefits & Perks We know that you will be dedicated to your purpose here. We look at that investment as a two-way street. We are proud to offer plenty of space for growth, and opportunities to pursue continuous development within our organization. For eligible positions, our other benefits include: comprehensive medical/dental/vision plans, 401k program with company matching, generous PTO (including competitive parental leave after 1 year of employment), and continuous training through CEU seminars and volunteering opportunities. What’s Next? Compass is committed to cultivating diverse and dynamic teams who exude passion for their craft, so whether or not you check all the boxes, we encourage you to apply – we’d be grateful to hear from you! Apply for this job * indicates a required field #J-18808-Ljbffr