Medical Authorization Specialist
7 days ago
**Job Summary**
We are seeking a highly skilled and detail-oriented Medical Authorization Specialist to join our team at Haven Behavioral Healthcare.
About the Role:
This part-time position involves developing and implementing systems for the authorization, concurrent, and retrospective review of inpatient admissions and services.
The ideal candidate will have two years of clinical experience in a psychiatric setting, knowledge of medical terminology, and insurance and billing practices. A licensed clinician with prior experience in utilization management is preferred but not required.
Key Responsibilities:
- Obtain authorization for each admitted patient
- Review and monitor each step of the authorization process to proactively identify potential problems
- Interact with physicians and therapists to ensure patient assessment and treatment plans are accurately reflected in facility documentation
- Track enrollment status continuously to act on changes and initiate retrospective review as necessary
- Maintain cumulative documentation regarding actions initiated by staff and self
- Conduct reviews to ensure services and documentation conform to facility protocols, applicable laws, regulations, and funding requirements
- Collaborate with healthcare professionals regarding medical necessity for stay, appropriateness of treatment, and estimated length of stay
- Attend daily meetings to obtain and present information on patient status, care, and stay
- Communicate authorization status, issues, or problems to appropriate staff
- Respond quickly and effectively to requests for information
Requirements:
- Bachelor's Degree in a Behavioral Health field or equivalent experience
- Two years of clinical experience in a psychiatric setting
- Knowledge of medical terminology and insurance and billing practices
Salary and Benefits:
We offer a competitive salary range of $45,000 - $60,000 per year, depending on experience, plus benefits including health insurance, paid time off, and professional development opportunities.
Why Join Us?
Haven Behavioral Healthcare is an equal opportunity employer committed to diversity and inclusion. We offer a dynamic and supportive work environment that fosters growth and development.
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