Authorizations Associate
2 months ago
**Requirements**:
- Bilingual in English and Spanish.
- High school diploma or GED.
- Strong verbal and written communication skills.
- Ability to execute active listening and effective problem-solving skills to deliver exceptional customer service.
- Ability to work efficiently under pressure and meet tight deadlines, as authorization timelines are critical for patient care.
- Strong organizational skills
- Capacity to effectively manage multiple tasks concurrently.
- Enthusiastic about learning all aspects of the authorization department and exhibits adaptability in transitioning duties as required within the team.
**Preferred Qualifications**:
- 1 year of Office setting experience preferred.
- Previous ABA/mental health administrative experience preferred
**Primary Responsibilities**:
- Conducting telephone intakes for prospective new clients by conducting comprehensive questionnaires.
- Collaborating closely with parents to obtain the necessary insurance documentation to initiate services and ensure timely collection of those documents.
- Verifying insurance coverage and notifying the clients before commencing services.
- Submit prior authorization requests to insurance companies.
- Follow up on pending authorizations and provide necessary documentation as requested.
- Process and enter authorizations in ABA Therapy Software for all funding sources.
- Communicate with our clinical team, insurance companies, and clients regarding authorization status.
- Maintain accurate records of all authorizations and related correspondence.
- Stay updated on changes in insurance policies and guidelines related to prior authorizations.
- Provide clear, timely, actionable information to both internal operations and clinical executive teams to address staff, family, and organizational issues as they arise.
- Additional responsibilities may be assigned or adjusted as workload fluctuates
**Benefits and Compensation**:
- Medical/ Dental/ Vision Insurance for eligible employees.
- Life Insurance/Long-Term Disability/Short-Term Disability for eligible employees.
- 401k for eligible employees.
- Comfortable work setting.
- Supportive management and an excellent teamwork environment.
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