Behavioral Health Authorization Specialist

6 days ago


Decatur, Illinois, United States Heritage Behavioral Health Center Full time
Job Title: Prior Authorization Specialist

Heritage Behavioral Health Center is seeking a dedicated and detail-oriented Prior Authorization Specialist to join our team. As a key member of our healthcare team, you will play a crucial role in ensuring that patient care is delivered promptly and efficiently.

Job Summary:

The Prior Authorization Specialist will be responsible for reviewing and processing authorization requests for various behavioral health services. This includes verifying patient insurance information, determining specific requirements for authorization, and submitting requests to insurance companies. The successful candidate will have excellent communication and interpersonal skills, with the ability to work in a team-based environment.

Key Responsibilities:
  • Review and process authorization requests for behavioral health services
  • Verify patient insurance information and determine specific requirements for authorization
  • Submit authorization requests to insurance companies and follow up as needed
  • Communicate with patients, families, and healthcare providers to gather necessary documentation and information
  • Educate patients about insurance benefits and the authorization process
  • Address and resolve any issues or concerns related to authorization and insurance coverage
  • Maintain accurate and up-to-date records of authorization requests, approvals, and denials
  • Ensure compliance with regulatory and organizational standards
Requirements:
  • High school diploma or equivalent required; Associate's degree or higher in healthcare administration, business, or a related field preferred
  • Valid driver's license, reliable means of transportation, and proof of current automobile insurance required
What We Offer:
  • Competitive salary range: $37,440 - $60,320 per year
  • Generous vacation, sick, and personal leave
  • Wellness days: 26 days per year (every other Friday off paid)
  • Paid holidays: 9 in 2024
  • Health Club/Fitness Reimbursement
  • Employee Assistance Program
  • Continuing education opportunities
  • Tuition assistance program
  • Agency-provided life insurance and short-term disability policies
  • Retirement plans (401k and Roth)
  • Optional insurance benefits, including health, dental, vision, flex spending accounts (healthcare, dependent care), and additional life insurance

We are a National Health Service Corp site, which gives staff access to the National Health Service Corp federal student loan forgiveness program (LCPC, LCSW, MD, APN, RN, CADC, LSW, and LPC individuals).



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