Utilization Review & Reimbursement Specialist

Mary Free Bed Rehabilitation Hospital(1 month ago)

RemoteFull TimeMedior$57,400 - $0Utilization Management

About this role

A Utilization Review & Reimbursement Specialist at Mary Free Bed supports patient access to inpatient rehabilitation by overseeing utilization management and reimbursement processes across the hospital network. The role focuses on ensuring medical necessity documentation aligns with regulatory and payer requirements and facilitating appropriate coverage decisions.

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Required Skills

Utilization Management
Medical Records
Denial Management
Prior Authorization
Case Review
Insurance Authorization
Documentation
Appeals

Qualifications

Degree in Nursing or Social Work or Physical Therapy or Occupational Therapy or Speech Therapy or Equivalent
Valid Driver’s License
Registered Health Information Technician (RHIT) (Preferred)
Registered Health Information Administrator (RHIA) (Preferred)

About Mary Free Bed Rehabilitation Hospital

maryfreebed.com

Mary Free Bed Rehabilitation Hospital in Grand Rapids, MI has network locations all throughout Michigan and Northern Indiana. We offer physical therapy and dozens of rehabilitation services.

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