Behavioral Provider Network Coordinator

Overview of Position

Hiring range: $22.12/hr

OVERVIEW OF POSITION: Under general supervision, works with participants to obtain placement for ABA within our internal ABA services or the Behavior Provider Network. Functions as the liaison between Behavior Services associates, medical providers, and participants. Coordinates assignments, manages related communications, and ensures appropriate documentation is completed.

Essential Functions

• Coordinates and processes physician referrals, reports, and re-authorizations as directed by management.
• Communicates with medical providers, Behavior department associates, and contracted Behavior Network providers to ensure appropriate participant assignments have been identified and necessary documentation for behavior services is complete.
• Aids CCMs with processing and sending referrals to network providers and providing supporting documents to initiate services.
• Updates EMR system with appropriate provider placement and authorization details for billing.
• Provides professional verbal and written communications with participants, associates, medical provider counterparts, and managers to assure requested participant assignments are consistent with services provided.
• Prepares, submits, and/or presents data, reports, and/or spreadsheets related to utilization- or productivity-related statistics, as required.

Education & Experience

• Requires a High School Diploma, GED, or national equivalent.
• 1-2 years’ experience in an administrative/clerical environment where complex interactions require a sophisticated level of coordination, preferably in a clinical setting.

Knowledge, Skills, Abilities

• Proficient in Microsoft Office (Word, Excel, Outlook), Windows-based applications, databases, and internet usage.
• Excellent organizational, decision-making, and verbal and written communication skills to be able to communicate effectively with all levels of associates, physician’s office personnel, and the general public.
• Ability to assist in efficient office operations, work independently, and as a team member.
• Ability to maintain customer-service orientation and professionalism in all interactions.
• Ability to exercise a high level of discretion in handling confidential information.
• Ability to prioritize and organize workload and be able to produce high-quality results with meticulous attention to detail.
• Ability to remain focused and flexible with shifting/changing priorities, heavy workload, and tight deadlines.
• Ability to acquire an understanding of organization and department policies and practices.
• Ability to pass a post-offer physical examination and a TB test.
• Ability to provide proof of required vaccinations or positive titer showing immunity.

Physical Demands

• Carrying/Lifting: Occasional / Up to 30 lbs.
• Standing: Occasional / Up to 3 hours per day
• Sitting: Occasional / Up to 3 hours per day
• Walking: Occasional / Up to 3 hours per day
• Repetitive Motion/Activity: Keyboard activity, telephone use, writing.
• Visual Acuity: Ability to view computer monitor and read newsprint.
• Travel: Ability to travel locally, 10% of the time.
• Environmental Exposure: Frequent exposure to unpleasant or hazardous working conditions (noise, heat, dust, bodily fluids, etc.) 20-50% of work time.