Insurance Authorization Coordinator

2 months ago

San Diego, United States MeBe Full time
Job DescriptionJob Description

MeBe Family is a provider of evidence-based therapies for children with autism and other special needs. Our mission is to empower families, professionals, and communities by educating and training them on evidence-based approaches. Our secret sauce? Play-filled, research-based care across multi-disciplines including ABA, Speech and OT.

At MeBe, you’ll be offered more than a job.  You’ll receive training and support to develop a career in Applied Behavior Analysis and grow as an individual. You’ll work with extraordinary team members who share a common goal, to help children with autism be their best selves.  Your days will be filled with meaning and purpose.

MeBe is seeking an Insurance & Authorizations Coordinator to join our growing clinical services team Under the supervision of the Insurance & Authorizations Manager, the Authorizations Coordinator supports the authorization department staff to ensure they have met every requirement needed prior to a client starting services, as well as fulfilling requests from insurance providers. The Authorizations Coordinator directly affects clinical employee satisfaction by being a catalyst between clinicians and insurance providers, guaranteeing our clinicians have the approved codes to serve our patients. This position will work in conjunction with our billing department and contracting department, prior to setting up approvals for our clinicians and patients.
 

About You:

  • You take pride in your work, pay attention to the small details and have a reputation for doing high quality work.

  • You value transparency and operate with candor and compassion. You inspire others to be their best selves.

  • You love to weave fun and laughter into whatever you do. Making a positive impact is what drives you

  • You value individuality and find yourself gravitating towards people with other interests who think outside the box, and push the status quo. 

About What You’ll Work On:

  • Directly manage authorization requests for Applied Behavior Analysis, Speech Therapy, and Occupational Therapy services.

  • Work cohesively with Authorizations & Family Success team members to ensure approvals are processed in a timely manner during onboarding and re-authorization periods. 

  • Effectively communicate benefit and authorization information between clinicians and the Family Success department. 

  • Full ownership of the medical records requests when received from Doctor’s offices or Insurance providers.

  • Ensure that department resources are updated daily/weekly with upcoming authorization expirations and treatment report submissions. 

  • Oversee biweekly eligibility reports.

  • Accurately identify and correct problems related to eligibility and authorizations. 

  • Provides concierge-level customer service while interacting with insurance company representatives.

  • Oversee and perform various clerical and administrative tasks related to authorizations and associated issues that require initiative and independent judgment. 

  • Respond to day-to-day operational requirements in a professional and timely manner.

  • Other duties as assigned

Qualifications:

  • Minimum of 2 years of administrative experience in the medical/behavioral health field, with a strong understanding of outpatient Speech, Occupational, and Applied Behavior Analysis therapies.  

  • Associate's degree in a related field is highly preferred. 

  • Advanced experience with Central Reach, required. 

  • Located in San Diego or in the Pacific Standard Time zone.

  • Have a dedicated HIPAA compliant workspace with minimal distractions, required. 

  • Able to maintain a reliable home internet connection, required.

  • Experience in the outpatient office setting is highly preferred. 

  • Understand and experience with the verification of benefits and prior authorization processes.

  • Strong organizational and analytical skills; innovative with the ability to identify and solve problems.

  • Strong verbal and written communication skills.

  • Professional experience with medical documentation and cover letters.

  • Advanced understanding of Google Suites, Microsoft Word, Excel, IOS and email.

  • Experience in Monday.com is a plus. 

  • Dependable – This is a remote hourly role. It is expected that the ideal candidate is able to perform the assigned duties within the outlined working hours upon hire. 

  • Team player- works efficiently between Family Success Team, clinicians, and Authorizations Manager.

  • Detail Oriented.

Benefits Include:

  • Industry Benchmarked, competitive pay based on location and experience

    • $22 - $27 per hour 

  • Paid days off

  • Medical, Vision, Dental- Anthem Insurance; 80% Employee, 50% Dependents

  • Life, AD&D, Accident, Hospital Indemnity, Short Term Disability, and Critical Illness Insurance 

  • Invest in your mental health with access to free mental health sessions

  • Protect your pet with discounted pet insurance

  • Secure your future with our 401k program

  • Tuition discounts available to all employees through our University Partnerships

  • Expansive treatment spaces

  • Options for positions in variety of settings: clinic; in-home

  • Scheduling department handles reschedules, cancellations and permanent changes to schedules

  • Work tools provided

  • Company sponsored, fun events for everyone

We are an equal opportunity employer and prohibit discrimination/harassment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

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