Insurance Authorization and Clinical Operations Coordinator

6 days ago

San Diego, California, United States MeBe Full time

At MeBe, a provider of evidence-based therapies for children with autism and other special needs, we're seeking an experienced Insurance Authorization and Clinical Operations Coordinator to join our growing clinical services team.

About the Role

This is a unique opportunity to make a meaningful impact in the lives of our patients and their families. As an Insurance Authorization and Clinical Operations Coordinator, you will be responsible for directly managing authorization requests for Applied Behavior Analysis, Speech Therapy, and Occupational Therapy services.

You will work closely with local clinicians and Family Success team members to ensure approvals are processed in a timely manner during onboarding and re-authorization periods. This role requires strong communication skills, attention to detail, and the ability to work independently with minimal supervision.

Key Responsibilities
  • Directly manage authorization requests for Applied Behavior Analysis, Speech Therapy, and Occupational Therapy services
  • Enter authorizations into our EMR (CentralReach)
  • Work cohesively with local clinicians & 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
Requirements
  • Minimum of 2 years of remote clerical/administrative working experience in the medical/behavioral health field
  • Minimum of 2 years experience with the verification of benefits and prior authorization processes
  • Must have worked with at least one of three disciplines in the past; outpatient Speech, Occupational, and/or Applied Behavior Analysis therapies
  • Used Central Reach as an Insurance Authorization or comparable solution in an authorization role
  • Advanced understanding of Google Suites, Microsoft Word, Excel, IOS and email. Monday.com is a plus
  • Dedicated HIPAA compliant workspace with minimal distractions
  • Strong verbal and written communication skills
  • Located in San Diego or in the Pacific Standard Time zone
  • Dedicated HIPAA compliant workspace with minimal distractions, required
  • Able to maintain a reliable home internet connection, required
What We Offer
  • $22-$27 per hour based on location and experience
  • Twenty nine 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

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