Authorization Technician

3 weeks ago


Richmond, United States Richmond Behavioral Health Authority Full time

The** Richmond Behavioral Health Authority **is seeking a **PRN Authorization Technician** to join our** Quality **team Prior authorization_ _is a process used by many health insurance companies to determine whether they will reimburse a prescribed procedure, service, or medication. Work is performed under the limited supervision of the Health Care Data Quality Supervisor.

**Essential Functions**
- Responsible for processing pre
- and reauthorizations for clinical services requiring precertification
- Maintaining a working knowledge of Medicaid/Medicare and Managed Care Organizations (MCOs)
- Verifying current insurance coverage through DMAS
- Maintaining tracking of authorization requests/approvals and key authorizations into the Electronic Health Record (EHR)
- Performing intermediate administrative support work researching and identifying errors in client level data in the EHR which impacts monthly billing processing
- Other duties as assigned

**Knowledge, Skills, and Abilities


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