Recovery Council, Inc. seeks an UM Specialist to support prior authorization, medical billing, utilization review (UR) and patient access for behavioral health and addiction services.
Strong ASAM criteria knowledge and DSM-5/ICD-10 familiarity are required to validate medical necessity and ensure compliant, timely approvals. Ideal candidates have 1–3 years of relevant experience, are proficient with Carelogic, and can navigate payer portals (Availity/NaviNet/Provider Express) to submit
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