Authorization Specialist

Overview:

Fast Growing Healthcare Company Seeks Key Team Member to Help Prospective and Existing Clients with Insurance Authorizations!

Your Work and How Youll Make a Difference:

The Authorization Specialist primary function is to monitor, track, and document client authorizations. The Authorization Specialist will network with clinical staff, area and regional leadership, insurance providers, intake, and billing departments. Therefore, communication skills are essential.

Why choose Behavioral Innovations:

• Daily Pay: Access your pay when you need it!
• OVIA Health: A Women's Health App supporting you throughout the entire Parenthood Journey.
• Wellbeing Program: Equipping you with tools to achieve your wellness goals.
• Employee Assistance Program (EAP): Comprehensive support for your mental, emotional, and physical health.
• University Partnerships: Enjoy tuition rate discounts.
• 100% Tuition Reimbursement Program:We invest in your education for career advancement opportunities, including the path to becoming a BCBA.
• Additional Programs Offered at BI: ABA Intern, Referral Bonuses, Employee Recognition, Employee Perks.
• Supportive Team Structure: Our clients and families are our top priority, and we foster a collaborative and expert team environment.
• Career Advancement Opportunities: Ongoing training & Professional development for all employees.
• Insurance: Medical, Vision, Dental, and Supplemental Insurance Policies.
• Pet Insurance!

What we are looking for:

• Bachelors degree preferred
• 3-5 years of clinical knowledge in a behavioral health or medical clinic setting
• Exhibit high quality work.
• Use excellent judgment and Communicate clearly.
• Ability to multi-task; listening, typing, taking notes, and work with different operating systems at one time.
• Take the initiative to identify and resolve issues
• Willing to learn and take on new tasks
• Demonstrate resourcefulness and cooperation
• Exhibit BIs core values in all interactions

Duties & Responsibilities:

• Manage a region/market of centers and is responsible for all duties pertaining to the clients in that market
• Manage submissions of assessment, initial, and re-authorization services. Ensuring proper follow up according to cadence, proper documentation in CRM and EHR, and communication with center and leadership.
• Develop positive working relationships with government and commercial payer case managers and clinical staff to promote an understanding of Prior Authorization requirements and processes.
• Complete and thoroughly document all client accounts with the approved or denied in both CRM and EHR and communicate with centers as need be
• Research, follow-up, and resolve any open or pending Authorization Requests with third party payers in a timely manner.
• Communicate with payers for status updates on all outstanding and pending Authorization Requests.
• Track Authorization thresholds on all client accounts.
• Work with clinicians on re-authorization submissions prior to an authorization expiration date, in order to prevent any lapses in coverage and ensure billing is accurate, complete and timely.
• Work with intake on assessment and initial authorizations, flagging any concerns with paperwork and potential delays
• Assist leadership in identifying, analyzing and escalating patterns of authorization denials and identifying corrective actions or training needs of clinical staff.
• Provide clinical staff and leadership with support and troubleshooting to ensure that documentation supports clean authorization submission.
• Performs other duties as assigned.

Be an Authorization Specialist at Behavioral Innovations.

Where Potential Thrives.