AUTHORIZATION SPECIALIST, ACCOUNTING - CHARLOTTESVILLE (FULL TIME)

General Statement of Responsibilities

This is a FLSA non-exempt position. The incumbent serves as administrative staff with specialized responsibilities for the Financial Access Department of the Administrative Division. In this capacity, he/she has primary responsibilities for requesting service authorizations to various insurance companies in a timely manner to obtain approval for the agency to provide service to clients.

Major duties

• *Request and obtain service authorizations from various insurance companies, using fax, internet, and/or phone to submit requisite clinical information to payers for review.
• *Effectively respond to insurance companies’ time-sensitive requests for additional information in order to maximize agency’s service approvals.
• *Accurate and timely data entry of authorizations approval into Credible once obtained from insurance companies.
• *Assist clinicians in tracking and/or updating external authorizations by providing information to clinicians in a timely manner.
• *Issue service limit and/or date expiration warnings to staff and management notifying them of over and/or underutilization.
• *Manage clinicians’ internal request for submitting authorizations.
• *Notify supervisor of issues related to clinicians’ request and/or insurance companies.
• *Notify supervisor of any changes to payer rules and/or procedures noticed while submitting requests.
• *Collaborate with other agency staff and functions in assuring accurate reimbursement related data entry.
• *General secretarial duties as they relate to the authorization request process (i.e., copying, typing, faxing, and filing).
• *Read all agency communication.
• *Other duties and special projects as assigned by the supervisor.

Qualifications

• Education:
• High School Diploma Required
• Knowledge:
• Third party billing
• The service authorization process
• DMAS/Medicaid eligibility criteria
• Working knowledge of mental illness, substance abuse, intellectual disability
• Skills:
• Verbal and written communication
• Online authorization submission
• Proficiency with relevant screens of Credible
• Problem solving
• Computer and data management
• Basic record-keeping
• Math
• Use of office equipment
• Data entry
• Customer service
• Interpersonal relations
• Abilities:
• Collect information on third party payer(s) and others regarding benefits, reimbursement requirements, and authorization procedure
• Comprehend and maintain knowledge of principles, practices, and methods of treatment modalities
• Analyze data for patterns and trends
• Medical necessity, levels of care
• Be organized, efficient, and accurate
• Communicate effectively with a wide variety of individuals
• Be decisive and think quickly
• Work well under pressure
• Prioritize work and provide coverage in each of the functional areas
• Be client-centered/customer oriented
• Work with both external and internal customers

Grade: 8, Hourly Pay Range $19.11 - $28.66

Schedule: Full Time

Location: 110 Avon Street, Charlottesville, VA 22902

Position: 000001600

Location: 500 OLD LYNCHBURG RD

Details: Job Description

Salary: $19.11-$28.66