Authorization Clinician
2 weeks ago
Position Summary:
The Authorization Clinician for outpatient is responsible for the tracking and review of those cases requiring telephonic case management. Tracking is accomplished via computer. Pre-authorization and case management is done with reviewers at the Managed Care Organization that is responsible for approving a client's treatment.
The Authorization Clinician for inpatient is responsible for managing the authorization process for prospective patients and insurers. This involves determining an appropriate level of care based on established admission criteria; once those determinations are made, presenting the clinical cases to insurers and managed care companies to secure authorizations for admission to treatment at the St. Peters inpatient rehabs. Also responsible for: welcoming and registering incoming patients to rehab, screening prospective clients for placement into the numerous St. Peter's addictions programs & investigating delinquent accounts and securing payment for denials; The Authorization Clinician is instrumental in answering inquiries from referents and persons in the community seeking treatment for substance abuse, providing guidance to appropriate levels of care in the SPARC continuum or other agencies in the community.
Education Requirements: Bachelor's degree or Associates degree with a QHP is required. Master's degree in a related field and QHP is preferred.
Experience Requirements: One to three years experience in the Behavioral Services field a prerequisite. Experience with insurance/managed care organizations a plus. Familiarity with PC basics necessary with the ability to learn new programs. Strong writing and communication skills are required, as well as knowledge of working with community agencies and managed care representatives. Experience working with a diverse population and a strong understanding of multicultural issues is preferred
Pay range: $24.60-$35.70
Pay is based on experience, skills, and education. Exempt positions under the Fair Labor Standards Act (FLSA) will be paid within the base salary equivalent of the stated hourly rates. The pay range may also vary within the stated range based on location
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
-
Physical Therapist
19 hours ago
Troy, Michigan, United States Trinity Health Full time $38 - $48Employment Type:Part timeShift:Day ShiftDescription:SIGN ON BONUS $2,500 Part-Time every other Weekend Only Come join the satisfied, long-term staff of this 5 out of 5 star agency. There's not a local agency that compares to us As a new Homecare PT, you'll receive a thorough orientation and mentorship to be successful as well as strong management support...
-
Supervisor- Audit, Education, Analytics
18 hours ago
Troy, Michigan, United States Henry Ford Health Full timeThe Audit, Education, Analytics, & Technology Supervisor, in conjunction with physicians, coders, and clinical staff, will utilize documentation and coding expertise to facilitate the quality and completeness of medical record documentation of outpatient encounters, including but not limited to clinic visits, outpatient surgical procedures, telemedicine, and...
-
Authorization Clinician
2 days ago
Troy, NY, United States Trinity Health Full timeEmployment Type: Full time Shift: Day Shift Description: Position Summary : The Authorization Clinician for outpatient is responsible for the tracking and review of those cases requiring telephonic case management. Tracking is accomplished via computer. Pre-authorization and case management is done with reviewers at the Managed Care Organization that is...
-
Authorization Clinician
1 week ago
Troy, NY, United States Trinity Health Full timeEmployment Type: Full time Shift: Day Shift Description: Position Summary : The Authorization Clinician for outpatient is responsible for the tracking and review of those cases requiring telephonic case management. Tracking is accomplished via computer. Pre-authorization and case management is done with reviewers at the Managed Care Organization that is...
-
Troy, United States Henry Ford Health System Full timeThe purpose of the Central Authorization Specialist position is to centrally facilitate the successful procuring of insurance authorizations for ordered procedures and post‑operative care. This will be done through quality validations of obtained authorizations as well as continuous education and opportunity feedback to a multi‑disciplinary team with the...
-
Central Authorization Specialist
5 days ago
Troy, MI, United States Henry Ford Health System Full timeThe purpose of the Central Authorization Specialist position is to centrally facilitate the successful procuring of insurance authorizations for ordered procedures and post-operative care. This will be done through quality validations of obtained authorizations as well as continuous education and opportunity feedback to a multi-disciplinary team with the...
-
Troy, United States Henry Ford Hospital Full timeCorporate Business Office (CBO) SupervisorThe Corporate Business Office (CBO) Supervisor works closely with the respective CBO Manager. Responsible for coordinating and leading a designated area within the CBO across a multi-facility integrated healthcare delivery system; which includes all insurance billing and self-pay associated with HFHS hospitals,...
-
Troy, MI, United States Henry Ford Health System Full timeThe Corporate Business Office (CBO) Supervisor works closely with the respective CBO Manager. Responsible for coordinating and leading a designated area within the CBO across a multi-facility integrated healthcare delivery system; which includes all insurance billing and self-pay associated with HFHS hospitals, outpatient clinics and employed physicians....
-
Travel Occupational Therapist
3 days ago
Troy, United States AlliedTravelCareers Full timeOccupational Therapist Location: Troy, OH Agency: FlexCare Pay: $2,346 per week Shift Information: Days - 4 days Contract Duration: 13 Weeks Start Date: 12/29/2025 About the Position AlliedTravelCareers is working with FlexCare to find a qualified Occupational Therapist (OT) in Troy, Ohio, 45373!FlexCare is a nationwide leader in the staffing of travel...
-
BCBA Therapist
2 weeks ago
Troy, United States Maetz Consulting, LLC Full timeOur client is a leading pediatric therapy provider delivering high-quality, home- and clinic-based Applied Behavior Analysis (ABA) services. They specialize in supporting children with Autism Spectrum Disorder (ASD), developmental disabilities, and language delays—helping families achieve meaningful, lasting progress.Key ResponsibilitiesDesign and...
-
Travel Occupational Therapist
6 days ago
Troy, OH, United States AlliedTravelCareers Full timeOccupational Therapist Location: Troy, OH Agency: FlexCare Pay: $2,346 per week Shift Information: Days - 4 days Contract Duration: 13 Weeks Start Date: 12/29/2025 About the Position AlliedTravelCareers is working with FlexCare to find a qualified Occupational Therapist (OT) in Troy, Ohio, 45373!FlexCare is a nationwide leader in the staffing of travel...
-
Full-Time Nurse Practitioner
2 weeks ago
Troy, OH, United States Matrix Medical Network Full time$7,500 Sign-On Bonus About Us Matrix Medical Network is a leading provider of comprehensive health assessments delivered in the comfort of home. We are dedicated to exceptional, personalized care that enhances health, reduces costs, and empowers people to live their best lives. Our national network of clinicians is deeply rooted in clinical assessment and...
