Utilization Review Specialist

The Utilization Review Specialist at Mesa Springs plays a vital role in the Revenue Cycle Management department, advocating for patients to secure coverage for needed inpatient and outpatient services. This position involves completing pre and re-certifications, managing denials and appeals, and interfacing with managed care organizations and payers. The specialist collaborates with the interdisciplinary team and physicians to ensure documentation requirements are met and authorizations are timely.