Secure initial authorizations for new clients and handle reauthorizations for existing clients, ensuring timely approvals and preventing any disruptions in service.
Communicate with insurance companies and third-party payers to obtain necessary authorizations, provide requested information, and resolve any issues that may arise during the authorization process.
Maintain accurate, up-to-date records of all authorizations, reauthorizations, and interactions with payers within the client management system, ensuring compliance with all documentation requirements.
Work closely with clinicians and administrative staff to communicate authorization statuses, troubleshoot any barriers to authorization, and offer guidance on best practices for authorization processes.
Stay current with insurance policies and regulations to ensure ongoing compliance, while actively seeking opportunities to streamline and improve the authorization process for increased efficiency and effectiveness.
Qualifications:
At least 2 years of experience in managing insurance authorizations, reauthorizations, and verification processes, preferably in a behavioral health or healthcare setting.
Familiarity with health insurance practices, including both commercial payers and Medicaid.
Exceptional attention to detail and strong organizational skills.
Effective verbal and written communication skills, with the ability to clearly explain complex insurance-related information to clients and payers.
Proficiency with Electronic Health Records (EHR) and billing systems.
Strong time management skills, with the ability to prioritize tasks and manage multiple responsibilities efficiently.
All qualified applicants will receive consideration for employment without regard to race, color, national origin, age, ancestry, religion, sex, sexual orientation, gender identity, gender expression, marital status, disability, medical condition, genetic information, pregnancy, or military or veteran status. We consider all qualified applicants, including those with criminal histories, in a manner consistent with state and local laws, including the California Fair Chance Act, City of Los Angeles' Fair Chance Initiative for Hiring Ordinance, and Los Angeles County Fair Chance Ordinance. For unincorporated Los Angeles county, to the extent our customers require a background check for certain positions, the Company faces a significant risk to its business operations and business reputation unless a review of criminal history is conducted for those specific job positions.
