Corporate Authorization Specialist
2 months ago
Job Summary:
The State Authorization Coordinator works closely with local clinical and business office staff, as well as corporate Finance, to ensure timely authorizations, approvals from payer funding sources, and utilization monitoring.
Key Responsibilities:
- Collaborates with Clinical teams to request authorizations from payer funding sources in a timely manner.
- Monitors payer web portals for authorization approvals.
- Ensures accurate and thorough entry of payers and authorizations in the Revenue Cycle system.
- Audits and reports utilization and expirations impacting billing processes.
- Participates in meetings as required.
- Performs other duties as assigned.
Requirements:
- Able 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 earned wages.
- Employee Perks and Discount Program: to help 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.
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