Behavioral Health Reviewer

BEHAVIORAL HEALTH REVIEWER

ROLE AND RESPONSIBILITIES:

•  Identify appropriate assignment of CPT and ICD-9 Codes for Physician and facility services provided in a behavioral health setting

•  Understanding of ICD-9 Coding in relation to CPC

• Review and maintain a record of claims, reviewed basis standard CMS guideline

• Maintain up-to-date Coding knowledge by reviewing materials disseminated/recommended by CMS

• Adhere to and maintains required levels of performance in both Coding accuracy and productivity

• Your role is critical in allowing our members, families, facilities, and health professionals to have greater confidence in the exceptional care we provide. And for you, an everyday opportunity to do your life’s best work.

JOB QUALIFICATIONS

• Minimum requirement: Graduate of Bachelor’s or Masters in Psychology, Education, Special Education or any therapy related degree are preferred

• Registered Behavior Technician (RBT®) or Applied Behavior Analysis Technician (ABAT®) in good standing is a BIG advantage

• Flexible with shifts

• Strong critical thinking, oral and written communication skills

• Ability to work independently

• Intermediate skill level with MS Office

WHAT WE OFFER

• Competitive package awaits those who meet the required experience and qualifications

• Temporary work from home/hybrid work arrangement, computer/laptop provided by the company

• Morning shift

• Retirement benefits

• Medical Plan (HMO) from Day 1 of employment

• Dental, Medical, and Optical Reimbursements

• Life and Disability Insurance

• Paid Time-Off Benefits

• Sick Leave Conversion

• Tuition Fee Reimbursement

• Employee Assistance Program (EAP)

• Annual Performance Based Merit Increases

• Employee Recognition

• Training and Staff Development

• Employee Referral Program

• Employee Volunteerism Opportunity

• All Mandatory Statutory Benefits

WHO WE ARE

• Optum is a part of the UnitedHealth Group, a Fortune 5 company, serving 125 million individual consumers.

• We are a diverse company with over 189,000 employees worldwide and over 14,000 employees in the Philippines.

• We are a leader in nearly every aspect of today’s health care landscape.

• We leverage on having the largest single proprietary network of physicians, hospitals, health facilities, and caregivers in the United States. At Optum, we believe that what makes you special can inspire your life’s best work.

Welcome to one of the toughest and most fulfilling ways to help people, including you. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life’s best work.