Authorizations Specialist

Position Details

The Authorizations Specialist is responsible for verifying and obtaining authorizations based upon the plan of care for all clients as required by insurance providers. The Authorizations Specialist will partner with the Regional Directors, Consultants, and a multitude of departments to maintain information and to ensure proper services are approved.

Responsibilities

• Manage all authorization requests to ensure they are submitted in a timely manner
• Enter, monitor and audit information to confirm accuracy for all parties affected
• Communicate with Regional Directors, Consultants, and other team members on a daily basis to guarantee all data is correct for services and billing purposes
• Responsible for submitting and following up with insurance companies for receipt of the authorization request, and to obtain updated information or additional authorizations
• Maintain deadlines provided
• Adhere to all HIPAA guidelines/regulations
• Other work as requested

Qualifications

• A high school graduate is required
• An associate's degree is preferred
• One year of experience in healthcare with a demonstrated working knowledge of health care industry and commercial payor authorization process is preferred
• EMR experience is a plus

About Butterfly Effects

Since 2005, Butterfly Effects has supported 14,000 families through individualized ABA therapy. Our butterfly logo symbolizes love, rebirth, and metamorphosis - mirroring our commitment to helping children and families thrive. We are co-founders of the National Coalition for Access to Autism Services (NCAAS) and the Louisiana Coalition for Access to Autism Services (LCAAS) - two nonprofits dedicated to expanding access to ABA regardless of socio-economic status.