Authorization Specialist
4 weeks ago
Authorization Specialist
Location: Montvale, NJ (Hybrid - 4 days in-office, 1 work-from-home)
Salary Range: $22-$25/hour
Company Overview
At Kids First, we believe in creating an environment where children thrive and achieve their full potential. Guided by our core values of integrity, compassion, and teamwork, we provide top-quality services that empower children to succeed. With a focus on service excellence, we strive to maintain the highest standards while fostering a collaborative and supportive atmosphere for our employees.
Our mission is to be the best children's therapy provider, delivering services that prioritize the child's success. We are committed to being the "best place to work" for our providers, ensuring professional growth and personal fulfillment. We are expanding across multiple states and are excited about bringing dedicated professionals like you to our team.
Position Summary
The Authorization Specialist plays a crucial role in ensuring smooth service delivery by managing authorization requests, maintaining accurate documentation, and negotiating service contracts. In collaboration with Intake, Scheduling, and Client Coordinators, the Authorization Specialist will be responsible for obtaining, managing, and troubleshooting service authorizations to prevent any disruptions.
Responsibilities
- Authorization Requests & Maintenance: Submit and maintain authorization requests with minimal errors.
- SCA Negotiation: Manage and negotiate service contracts as needed.
- Process Management: Ensure all reassessments and renewals are completed on time, with accurate documentation
- Provider Support: Work closely with internal teams and providers to track and follow up on outstanding authorizations.
- Within 30 Days:
- Complete training on Central Reach and internal processes.
- Submit at least 10 authorization requests with a 90% accuracy rate.
- Within 60 Days:
- Submit 100% of reassessments on time with 98% accuracy.
- Follow up on outstanding authorizations within 72 hours.
- Within 90 Days:
- Maintain 100% on-time submissions without service disruptions.
- Propose at least one process improvement based on trends observed during your work.
- Experience Level: Mid-level
- Must-Have Traits:
- Critical thinking and problem-solving
- Strong organizational skills with attention to detail
- Proactive and independent with excellent communication abilities
- Adaptable and patient, able to manage multiple tasks efficiently
- Technical Skills:
- Proficiency in Central Reach and Power BI
- Familiarity with G-Suite for documentation and communication
- Health Benefits: Medical, Dental, Vision, Life Insurance, and voluntary benefits
- Time Off: 15 days of PTO plus 10 floating holidays
- Hybrid Work Model: 4 days in-office, 1-day work-from-home
Equal Employment Opportunity (EEO) Statement:
Kids First is committed to fostering an inclusive and diverse workplace. We believe that diversity strengthens our team, and we welcome applicants from all backgrounds. All qualified applicants will receive equal consideration for employment without regard to race, color, religion, gender, sexual orientation, disability, or veteran status.
