Job Summary
A company is looking for a Psychologist Peer Reviewer, licensed in Kentucky, to conduct clinical reviews and make insurance benefit coverage determinations.
Key Responsibilities:
- Conduct clinical reviews for service authorization and ongoing outpatient care
- Review requests for non-standard outpatient services and appeals of denied services
- Participate in consultations, staff meetings, and trainings while composing clinical determinations
Required Qualifications:
- Independently licensed doctoral level Psychologist (Ph.D. or Psy.D.) in Kentucky
- 2+ years of post-licensure experience
- Experience dealing with insurance
- Advanced proficiency in Microsoft Office applications
- Ability to work independently and collaborate with a clinical team
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