• Realizar sesiones breves de **40 minutos** con los usuarios de la plataforma: sesiones virtuales cara a cara con los clientes. • Realizar atención psicoterapéutica a través de texto: proporcionar apoyo por escrito, ofreciendo atención y orientación basada en pruebas en tiempo real. • Registrar la información de manera clara y segura. • Llevar a cabo evaluaciones iniciales y seguimiento clínico cuando sea necesario. • Colaborar con nuestro equipo clínico cuando se requiera. • Mantener una comunicación profesional y empática con los pacientes.

• Coordinate and manage planning meetings (agile sprint ceremonies); • Be the primary source of information about the project's priorities; • Clearly specify the necessary items in the Product Backlog, assisting the business area in prioritizing items to maximize value delivery; • Define Product Backlog items and help achieve goals together with the business team; • Ensure the Product Backlog is visible, clear, and transparent to everyone in the company; • Optimize the value of work delivered by the development team, ensuring the value generated by each delivered request is clear; • Ensure the quality of product delivery, supporting the KPIs defined for the product.

• Review current client billing and revenue cycle processes to identify opportunities for improvement • Support new client onboarding and RCM implementation activities • Assist with software configuration, workflow design, and operational setup • Provide consultative guidance on billing workflows, operational efficiencies, and best practices • Monitor operational performance across assigned RCM accounts • Track key revenue cycle metrics, account deliverables, and open action items • Assist with claim, denial, aging, and payment follow-up coordination • Support account managers with client requests and operational reporting • Coordinate issue resolution between billing teams, clients, and internal stakeholders • Develop expertise in platform functionality, payer workflows, and implementation methodologies • Create and maintain onboarding documentation, process guides, training materials, and standard operating procedures • Conduct client training sessions and support user adoption efforts • Identify operational risks, workflow bottlenecks, and process improvement opportunities

Role Description The primary purpose of the Utilization Review Specialist is to create and manage the flow of revenue for each client through liaison with insurance companies. The Utilization Review Specialist establishes a file on all incoming clients with insurance and maintains authorization for reimbursement from pre-certification through continuing stay reviews through discharge or referral. The Utilization Review Specialist uses communication, reading and writing skills to establish the best, most accurate position of need for each client to ensure maximum reimbursement for care and appropriate reimbursement for the level of care being provided. The Utilization Review Specialist has skills in gathering information from clinicians, navigating EMRs, and creating cases for presentation. - Gather all information salient to insurance reimbursement. - Call insurance companies to obtain precertification or concurrent certification concurrent with the level of care. - Establish positive relationships with insurance providers. - Identify trends in reimbursements and report out to supervisor through verbal report and generation of graphics. - Work closely with all departments. - Keep accurate records of all transaction and communication with insurances. - Accurately transfer all information to the Billing Department. - Provides corrective criticism and peer review. - Reported to work as assigned and keep workplace professional. - Maintain acceptable overall attendance. - Promote a favorable/positive work atmosphere. - Maintains safety of the physical environment. - Communicate effectively both orally and in writing. - Independently solve problems and follow through. - Organize and function independently in an office environment. - Other duties as assigned. Qualifications - High School Graduate or equivalent. Post high school training in the medical field, the insurance field or in the behavioral health field preferred. - A minimum of two years in the field of medicine, chemical dependency/substance abuse/psychiatric setting or human services field. Experience in third party reimbursements. - Licensure in nursing, social services helpful but not required. - Ability to work as a team member and have management, communication, organizational and interpersonal skills. - Ability to work under stressful conditions and be flexible in relation to department needs. - Understanding of medical and behavioral health terminology. - Demonstrates Proficiency in Verbal and Written Communication Skills. - Knowledge of State and Federal Statutes Regarding Patient Confidentiality Laws. - Knowledge of Drug-Free Workplace Policies. - Knowledge of Corporate Integrity and Compliance Program. - Knowledge of current utilized technology. - Understanding of Insurance policy coverage limits. - Proficient in Microsoft Office. - Satisfactory CORI and background check. - Satisfactory drug screen. Additional Information Part Time Remote Role