Authorization Specialist

Job Description

JOB DETAILS

REQUIREMENTS

• Fully Remote. Must reside on the East Coast
• Minimum 3 year working in Healthcare office or settings
• Understanding of CPT Codes and insurance authorization process for behavioral health preferred; training will be provided to highly qualified candidates
• Ability to use compassion and judgment while maintaining strict confidentiality. Strict adherence and understanding of HIPAA.
• Excellent communication skills
• Organized and punctual, meeting all timelines without reminders
• Ability to work independently and prioritize tasks/duties
• CentralReach Experience preferred
• Embody Proven Core Values
  • Emotionally and intellectually intelligent
  • Committed to forming warm and lasting relationships
  • Genuinely joyful with children

RESPONSIBILITIES

• Submits authorizations for ABA, SLP and Psychological Testing
  • Communicates with clinical team for necessary updates and clinical information
• Enters all authorization information into EMR
• Updates system for clinician case transfers
• Maintains client records in EMR
  • Including uploading Treatment plans, authorizations, insurance cards, etc
• Appeals adverse authorization determinations
  • Follows up with clinical team for necessary information
• Attends peer calls to take clinical notes
• Performs insurance inquiries as necessary
• Connects with families for insurance issues
• Process Discharges
• Attends necessary webinars and CASP SIG

Are you interested in this position?

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