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Health Insurance Authorization Specialist-Therapy

Company: Achievement Centers For Children
Location: Cleveland
Posted on: January 27, 2023

Job Description:

Job DescriptionHealth Insurance Authorization SpecialistAchievement Centers for Children is seeking a full time Authorization Specialist to manage ongoing authorizations for outpatient physical, occupational and speech therapy services. This position will be based out of our Highland Hills office. MUST HAVE PRIOR EXPERIENCE WITH INSURANCES AND AUTHORIZATIONS. Achievement Centers for Children is a Cleveland, Ohio based non-profit organization that is nationally recognized for its excellence in helping children with disabilities and their families achieve and thrive. Employment with us is rewarding personally and professionally. Responsibilities

  • Request and monitor authorization for service from insurance carriers
  • Contact carriers for quoted benefits and complete on-line Quoted Benefits Form
  • Work with therapy team to manage necessary authorizations for outpatient services
  • Complete authorization request, and fax/scan/email all required documentation to insurances to facilitate authorizations
  • Run insurance checks, investigate any changes in coverage, and manage the monthly MITS verifications
  • Upload authorizations and service plans into the patient record
  • Follow up and track pending authorization requests and document all activities for each request
  • Submit any new or changed authorization requests
  • Document and inform all clinical staff
  • Other duties as assignedQualifications
    • High School Diploma or equivalent
    • Must have prior authorization experience in a healthcare setting
    • Proficiency in computer applications including Excel, and other electronic technologies
    • Ability to read and interpret medical benefits for verification requests
    • Strong communication skills with ability to navigate through challenging situations while maintaining composure
    • Excellent organizational skills and ability to track expiring authorizations
    • Professional and friendly demeanor at all times
    • Reliable transportationBenefits/Compensation:
      • Generous paid time off including a shut-down week during December holidays
      • Schedule flexibility within general business hours
      • Retirement savings 403B plan with employer contribution
      • Excellent medical, dental and vision benefits
      • Flexible spending account
      • Employee Assistance ProgramThe Achievement Centers for Children welcomes diversity and is an Equal Opportunity Jobble

Keywords: Achievement Centers For Children, Cleveland , Health Insurance Authorization Specialist-Therapy, Other , Cleveland, Ohio

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