Authorizations Coordinator

Description

FLSA Classification

Non-Exempt

Direct Supervisor

This role reports directly to the Billing Director.

Summary

The Authorization Coordinator position ensures the timely, thorough, and accurate coordination of client Third Party Payer verifications and authorizations so that appropriate services can commence and continue with our clients.

Essential Functions/Job Duties and Responsibilities

• Ensure timelines of reports and authorizations
• Submit complete authorization request for single case agreements (SCA) including in-network exceptions
• Engage clinician when required by insurance provider and third-party billing company
• Perform accurate data entry in EMR and other software
• Ensure that clinical team is aware of upcoming authorization deadlines to drive creation and submission of progress report for re-authorization in a timely manner
• Submit all documents required for credentialing of staff and updating of CAQH numbers
• Work with insurance carriers to become an in-network provider
• Work with provider on obtaining provider certification, license and paperwork to process credentialing
• Work with the biller to ensure that all authorizations are properly set up in their system
• Assist other staff with issues converting sessions in EMR
• Assist with the development of policies, procedures, workflows, and step action guides for authorization and billing as well as hand-in/hand-offs with other departments
• Develop and maintain authorization request templates to streamline authorization request process and decrease turnaround time
• Provide weekly/monthly reports as needed/requested
• Assist with administrative tasks at the EI Center (i.e. answering the door, ordering supplies, organization, refilling printer paper, making copies, etc.)
• Complete special projects as needed/assigned
• Other duties as assigned

Requirements

Minimum Qualifications

• High school diploma or GED
• Experience using an electronic medical system
• Detail oriented, strong organizational, time management, analytical, problem solving, and customer service skills
• Ability to multitask and track multiple items at the same time
• Exceptional verbal, written, and interpersonal communication skills, including phone and email
• Proficient in Microsoft Office, Google Sheets and Google Docs, with strong computer skills
• Ability to work in a fast-paced environment with changing circumstances while maintaining a positive attitude

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Visual and auditory ability to work on computer and use phone for long periods of time
• Ability to perform all physical aspects of the position for long periods of time, including sitting, standing, bending, squatting, and kneeling.