UM Specialist - Remote open to Louisville Metro applicants only
- Location
- Louisville, KY (Remote)
- Listed
- Today
About the role
Consideration will only be given only to candidates living in the Louisville Metro area.
Essential Job Functions
- Verifies client's mental health, intellectual disability, and/or substance abuse benefits and obtains initial authorization and subsequent authorizations, as determined by guarantor.
- Verifies all commercial and Medicare Advantage plans for agency at intake and all reports related to changes to these guarantors.
- Works daily reports to move authorizations through life cycle of authorization from intake to discharge.
- Communicates guarantors needs to operations staff.
- Pulls necessary information from charts for retro reviews and appeals.
- Collaborates and educates operations staff on authorization process and status of their client's request.
- Implements tracking system to obtain future authorizations and any other maintenance needed by guarantor.
- Resolves billing problems and/or receives insurance updates.
Additional information
The intent of this job description is to provide a representative summary of the major duties and responsibilities performed by incumbents of this job. Incumbents may be requested to perform job-related tasks other than those specifically presented in this description.
Education
- High School diploma: Associate degree preferred.
Experience
- Two years of administrative experience.
Requirements
- Excellent observation skills, analytical thinking, problem-solving, and good verbal and written communication skills.
- Basic knowledge of managed care and reimbursement concepts
- Knowledgeable of medical terminology, CPT, HCPC, and revenue codes
- Excellent customer service skills
Physical Demands
- The position requires lifting up to 20 pounds, with frequent lifting and/or carrying of items weighing up to 10 pounds.
- Occasional minor discomfort from continual exposure to a video display terminal.
Additional information
Within the bounds of their respective job descriptions, all staff are expected to exercise principle-centered leadership, focusing on customer service responsiveness and continuous quality improvement. Additionally, all staff are expected to develop a working knowledge of and follow all policies and procedures related to safety management and other Joint Commission standards.
Time Type: Full time
From Seven Counties Services's careers page, first listed on Rolev.ai on November 15, 2026. Rolev.ai is not the employer.
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Common questions
Where is the UM Specialist - Remote open to Louisville Metro applicants only job at Seven Counties Services located?
Yes, this UM Specialist - Remote open to Louisville Metro applicants only opening at Seven Counties Services is listed as Louisville, KY (Remote). Always check Seven Counties Services's application page for specific state eligibility or relocation policies.
How do I apply for the UM Specialist - Remote open to Louisville Metro applicants only position at Seven Counties Services?
This listing links directly to Seven Counties Services's Workday application page. You can apply directly on Seven Counties Services's site, or use Rolev.ai to check your resume fit, generate a zero-hallucination tailored resume and cover letter for this posting, and autofill the Workday application form in 1 click with the Rolev.ai Chrome extension. You always review the form and press Submit yourself.