Service Authorization Specialist

1 month ago


Philadelphia, Pennsylvania, United States COMHAR Full time
Job Summary

COMHAR, Inc. is seeking a highly skilled Service Authorization Technician to join our team. As a key member of our Intensive Behavioral Health Services (IBHS) team, you will be responsible for ensuring the smooth operation of our service authorization process.

Key Responsibilities
  • Admit clients by gathering and recording provider, client, and insurance information
  • Oversee preauthorization and referrals process for the IBHS program
  • Process client admissions, track discharges, and submit to CBH to end active authorizations
  • Pre-admit clients by receiving referrals from various sources and entering client information into the referral module in Evolv
  • Run initial eligibility through Promise for clients
  • Secure payments by screening insurance information, identifying clients requiring pre-admission approvals from third-party payers, and verifying approvals
  • Upload and download CBH authorizations
  • Develop and monitor authorization reports reviewed with the Office Manager
  • Monitor the authorization process of individual and aggregate cases
  • Track and correct authorizations for proper length and number of units
  • Meet weekly with CBH Care Manager to discuss authorization correction lists
  • Document service hours and units to match requested services
  • Process contractor and temp agency invoices
  • Ensure a responsive system for authorization of services and payment of claims by monitoring the COMHAR billing system for laps in service, rejections, and error logs
Requirements
  • High school diploma or GED
  • 2 years' experience in an office setting
  • Proficient with Microsoft Office software
  • Understanding of basic accounting and personnel management
  • Experience with billing and insurance
  • Knowledgeable with EHR Systems
What We Offer

COMHAR, Inc. is a not-for-profit community-based health and human service organization founded in 1975. We offer a competitive salary of $37,440.00 and a supportive work environment.



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