Lindsey Williamson
Prairieville,LA
Summary
Experienced Utilization Review Specialist prepared for role with strong background in clinical review and patient care. Expertise in evaluating medical records, ensuring compliance with regulatory standards, and facilitating effective communication between healthcare providers. Known for collaborative approach, reliability, and adaptability to changing needs. Skilled in utilization review, case management, and healthcare documentation, with focus on achieving measurable results.
Overview
14
14
years of professional experience
Work History
Utilization Review
Billing Solutions
10.2024 - Current
- Obtain initial and concurrent authorizations for all levels of care. Detox, RTC, PHP, IOP, OP
- Work with several assigned facilities with mental health and substance abuse
Utilization Review
The Serenity Center of Louisiana
09.2014 - 01.2024
- Obtained initial and concurrent authorizations for all levels of care. Detox, RTC, PHP, IOP
Behavioral Health Technician
O'Brien House
01.2013 - 01.2014
- Monitored patients' behavioral and emotional responses to treatment plans.
Behavioral Health Technician
Washington Street Hope Center
01.2012 - 01.2013
- Documented patient progress and communicated findings with the care team.
Education
RAC
LASACT
Baton Rouge, LA01.2014
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Bishop Sullivan High School
Baton Rouge, LA01.2000
Skills
- Clinical Expertise in Behavioral Health: Strong foundation in mental health diagnoses, treatment modalities, and DSM-5 criteria
- Utilization Review & Case Management: Skilled in evaluating medical necessity, level of care, and treatment appropriateness for inpatient and outpatient behavioral health services
- Authorization & Claims Review: Experience reviewing prior authorizations, concurrent reviews, and retrospective claims for compliance with insurance guidelines and regulatory standards
- Regulatory Knowledge: In-depth understanding of CMS, Medicaid, Medicare, and commercial insurance requirements for behavioral health services
- Interdisciplinary Communication: Collaborates effectively with providers, payers, and multidisciplinary teams to ensure continuity of care and efficient resource use
- Documentation & Reporting: Accurate and timely documentation in EMRs and UR platforms; skilled in producing audit-ready reports
- Crisis & Risk Assessment: Competent in identifying high-risk cases, assessing suicide/self-harm risk, and coordinating appropriate interventions
- Confidentiality & Compliance: Maintains strict adherence to HIPAA and ethical standards in handling sensitive health information
Community Service
Stephanie Fletcher - Supervisor at Billing Solutions 318-393-8943
Darci Anderson - Co worker at Serenity Center 225-301-3983
Dionese Gerbercht - Supervisor at Serenity Center 225-413-0932
Affiliations
Louisiana Association of Substance Abuse Counselors 2013
Timeline
Utilization Review
Billing Solutions
10.2024 - Current
Utilization Review
The Serenity Center of Louisiana
09.2014 - 01.2024
Behavioral Health Technician
O'Brien House
01.2013 - 01.2014
Behavioral Health Technician
Washington Street Hope Center
01.2012 - 01.2013
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Bishop Sullivan High School
RAC
LASACT