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Service Authorization Specialist

2 months ago


Philadelphia, Pennsylvania, United States Comhar Inc. Full time
Job Summary

Comhar Inc. is seeking a highly organized and detail-oriented Service Authorization Technician to join our team. As a Service Authorization Technician, you will be responsible for ensuring that billing authorizations are correctly inputted into our Electronic Health Record (EHR) system.

Key Responsibilities
  • Authorization and Referral Management: Admit clients by gathering and recording provider, client, and insurance information. Oversee the pre-authorization and referrals process for our Intensive Behavioral Health Services (IBHS) program.
  • Authorization Tracking and Correction: Improve the proficiency of receiving and correcting authorizations for services. Track discharges and enter them into the EHR system.
  • Client Onboarding: Pre-admit clients by receiving referrals from various sources and entering client information into the referral module in the EHR system.
  • Eligibility Verification: Run initial eligibility through Promise for clients.
  • Authorization Reports: Develop and monitor authorization reports that are reviewed with the Office Manager.
  • Contractor and Temp Agency Invoicing: Process contractor and temp agencies invoices.
  • System Monitoring: Ensure a responsive system for authorization of services and payment of claims by monitoring the COMHAR billing system for laps in service as well as rejections and error logs.
Requirements
  • Education: High school diploma or GED.
  • Experience: 2 years' experience in an office setting.
  • Technical Skills: Proficient with Microsoft Office software. Understanding of basic accounting and personnel management. Experience with billing and insurance. Knowledgeable with EHR Systems.