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Service Authorization Specialist
2 months ago
The Service Authorization Technician plays a critical role in ensuring the smooth operation of our 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 overseeing the preauthorization and referrals process.
Key Responsibilities- Improve the proficiency of receiving and correcting authorizations for services.
- Process client admissions, track discharges, and submit to CBH to end active authorizations.
- Pre-admit clients by receiving referrals from various sources, 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 to ensure service hours and units match requested amounts.
- 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.
