An Eligibility Specialist provides assistance and information for people who apply for a government benefits program or health care program. Answers questions, assists with an application process, and reviews applications and relevant background information to determine eligibility. May assist eligible applicants with enrolling in a program.
Job description Authorization Coordinator - Base plus bonus position The Authorizations Coordinator is responsible for all aspects of the prior authorization process. Responsibilities include collecting all the necessary documentation, contacting the client for additional information and completion of the required prior authorization in order to proceed with testing. Complete, timely, and accurate identification and submission of prior and retro authorization requests to the payors. Interacts with clients, insurance companies, patients, and sales representatives, as necessary, to request for prior authorizations. Responsible for documenting account activity, updating patient and claim information. • Full time position - 9am-5pm (Monday-Friday)
Responsibilities:
Document eligibility, benefit and authorization information in accordance with established guidelines. Research patient accounts due to invalid and/or missing authorization information and correspond with clients, insurance companies, patients, sales representatives to obtain the necessary information to ensure accurate, timely and complete claims submissions. Verify prior authorizations and/or pre-service requirements are met. • Proactively manages and maintains all outstanding authorizations to increase billing of clean claims. Proactively communicates with insurance companies to ensure all clients are currently authorized for scheduled services Provide outstanding customer service to patients and develop and maintain positive working relationships with internal and other external customers. Identify and report trends and prior authorization issues relating to billing and reimbursement. Document all account activity and correspond to inquires in a timely manner. Reviews accounts on a daily basis while meeting or exceeding all daily, weekly and monthly production goals. Communicates and works effectively with colleagues from other departments. Follows written and verbal communications. Performs other related duties as required or assigned. Education and Qualifications High school diploma 1+ years of insurance background 1+ years of behavioral health industry experience Knowledge of basic computer skills such as Microsoft Office Suite (Outlook, Word, Excel, SharePoint, etc.). Familiar with medical terminology Professional telephone courtesy Attain ABA is a fast paced and rapidly growing nationwide ABA company with a primary focus on helping individuals reach their highest potential through high quality ABA Therapy. Our team works together from the corporate CEO to the local therapist to accomplish the goal of helping one individual at a time! We are looking for a professional, energetic, talented, and driven workers to join our team to provide outstanding ABA services. The Equal Employment Opportunity Policy of Attain ABA is to provide a fair and equal employment opportunity for all associates and job applicants regardless of race, color, religion, national origin, gender, sexual orientation, age, marital status or disability.
Job Type:
Full-time Pay:
$55,000.00 per year
Benefits:
401(k) Dental insurance Health insurance Health savings account Life insurance Paid time off Vision insurance
