Authorization Coordinator
4 weeks ago
About the Role:
The State Authorization Coordinator plays a crucial role in ensuring timely authorizations and approvals from payer funding sources. This position works closely with local clinical and business office staff, as well as corporate Finance, to monitor utilization and ensure accurate entry of payers and authorizations in the Revenue Cycle system.
Key Responsibilities:
- Collaborate with Clinical teams to request authorizations from payer funding sources in a timely manner.
- Monitor payer web portals for authorization approvals and ensure thorough and accurate entry of payers and authorizations.
- Audit and report utilization and expirations that impact billing processes.
- Participate in meetings as required and perform other duties as assigned.
Requirements:
- Ability to work independently and stay on task.
- Organized, accurate, and detail-oriented.
- Ability to manage time, make decisions, and solve problems.
- Working knowledge of Microsoft Excel/Word/Outlook/Teams and other computer-related skills.
- Ability to learn various software applications.
- High School Graduate or equivalent.
Pre-employment Screening:
- Complete criminal background check.
- Name checked in the registries (OIG exclusions database, Child Abuse Registry, and Offenders Against Individuals with Developmental Disabilities).
- Drug testing.
- Education verification and other credentialing based on position requirements.
- Proof of employment history or references (if required).
- Positions that require driving: Proof of driver's license, driver's insurance, and vehicle (if required for providing transportation for individuals).
Benefits:
- Payactiv: early access to the money you've earned from hours you've already worked, before payday.
- Employee perks and discount program: to help you save money.
- Paid Time Off: (full-time employees only).
- Health/Insurance: (full-time employees only).
- 401(k) retirement savings program.
- Wellbeing Programs: Physical, Emotional, and Financial.
- Chronic Disease management programs for hypertension and diabetes: (for qualifying employees).
- Training: Free CPR, first aid, and job-specific training opportunities.
About RHA:
RHA Health Services provides a safe and healthy environment while creating opportunities for personal outcomes. Our mission is to help individuals with intellectual and developmental disabilities, mental health, and/or substance use needs live their best lives.
We currently provide services in North Carolina, Georgia, Pennsylvania, Tennessee, and New Jersey.
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