Healthcare Documentation Specialist

7 days ago

Sorsogon, Bicol, Philippines beBeeDocumentation Full time $60,000 - $70,000

Job Title: Healthcare Documentation Specialist

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Description:

We are seeking a detail-oriented and highly skilled Healthcare Documentation Specialist to support our Residential, PHP, and IOP levels of care. This individual will be responsible for conducting thorough reviews of comprehensive client charts, interfacing with insurance payers to obtain continued authorization, and collaborating with clinical and medical team members to gather updated information.

Key Responsibilities:

  • Conduct in-depth reviews of client charts, including progress notes, psychiatric evaluations, history and physical exams, nursing assessments, and medical vitals.
  • Collaborate with the clinical and medical teams to gather relevant information supporting the client's medical necessity for continued care.
  • Maintain a working knowledge of insurance medical necessity criteria, such as ASAM, MCG, and InterQual.
  • Accurately document all authorization and review interactions in the Electronic Medical Record (EMR) system.
  • Participate in interdisciplinary team meetings and provide feedback on documentation practices that support utilization review.
  • Proactively track authorization timelines, expirations, and upcoming reviews to avoid service interruptions.

Required Skills and Qualifications:

  • Minimum: Licensed Registered Nurse (RN)
  • Preferred: Nurse Practitioner (NP), Medical Doctor (MD/DO), Licensed Therapist (LCSW, LPC, LMFT, PsyD, PhD)
  • Minimum of 2 years' experience in behavioral health, substance use, or psychiatric care.
  • Prior experience with utilization review, case management, or insurance authorization processes strongly preferred.
  • Familiarity with insurance platforms and payer-specific guidelines.
  • Excellent communication skills with the ability to represent clinical information clearly and persuasively.

Benefits:

  • Full-time remote position.

Others:

  • Mid-senior level role.
  • Administrative job function.
  • Industry: Hospitals and Health Care.

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