Service Authorization Specialist
1 month ago
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
- 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
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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Service Authorization Specialist
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Philadelphia, Pennsylvania, United States COMHAR, Inc. Full timeJob SummaryThe Service Authorization Technician plays a crucial role in ensuring the smooth operation of COMHAR, Inc.'s Intensive Behavioral Health Services (IBHS) program. Reporting to the Office Manager of Children's Services, this position is responsible for admitting clients, gathering and recording provider, client, and insurance information, and...
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