NFP - 4.6

Libertyville, IL Job Details Full-time From $65,000 a year 12 hours ago Benefits Health savings account Health insurance Dental insurance Paid time off Parental leave Vision insurance Life insurance Referral program Retirement plan Qualifications Customer communication Teamwork Customer service Bachelor's degree Attention to detail Organizational skills Full Job Description At AOR, we provide compassionate, community-based mental health services that empower individuals to take ownership of their recovery. We're hiring an RCM Authorizations Coordinator to join our Revenue Cycle Management team and support the insurance authorization, eligibility, and credentialing processes that keep client services moving and help ensure timely reimbursement. In this role, you'll work closely with clinical, operational, and revenue cycle teams while serving as a key point of contact with Medicare, Medicaid, Illinois HFS, Managed Care Organizations (MCOs), and commercial insurance carriers . You'll help ensure services are properly authorized, providers and sites maintain appropriate credentialing, and payer requirements are consistently met. What You'll Do Complete initial insurance eligibility verifications and ongoing re-verifications Obtain initial, concurrent, and reauthorizations to support uninterrupted client services Submit authorization requests and monitor them through approval, denial, or required follow-up Track clients, payers, authorizations, and authorization status using Excel and other systems Communicate authorization approvals, denials, and follow-up requirements to clinical and operational staff Collaborate with clinicians to ensure documentation supports medical necessity and payer requirements Serve as a primary contact with HFS, Medicare, Medicaid, MCOs, and commercial insurance carriers regarding authorization and credentialing matters Coordinate provider and organizational site credentialing requirements with government and commercial payers Maintain current knowledge of payer-specific authorization and credentialing requirements Review authorization reports to identify trends, barriers, denials, and opportunities for improvement Provide education and guidance to staff regarding payer requirements and authorization processes Support revenue cycle initiatives focused on improving efficiency, reducing denials, and maximizing reimbursement Assist with other projects and responsibilities as assigned What We're Looking For Bachelor's degree preferred in Healthcare Administration, Finance, Psychology, Social Work, Counseling, Behavioral Health, or a related field; equivalent experience may be considered 3-5 years of healthcare experience , particularly working with Medicaid or Managed Medicaid plans 1-3 years of healthcare revenue cycle experience , such as authorizations, billing, coding, collections, or charge capture Strong understanding of insurance authorization requirements and Medicaid processes Knowledge of provider credentialing with government and commercial payers Strong Excel and Microsoft Office skills Excellent attention to detail, organization, and follow-through Strong written and verbal communication skills with a customer service focus Ability to manage multiple priorities and deadlines in a fast-paced environment Ability to work independently while collaborating across departments Commitment to confidentiality and HIPAA requirements Why Join AOR? Make an impact behind the scenes by helping ensure clients receive uninterrupted services Join a collaborative team supporting community-based mental health care Work in a role that combines insurance coordination, revenue cycle, and process improvement Opportunities to contribute to systems and processes that directly support organizational growth Full benefits: medical, dental, vision, life insurance, PTO, parental leave, referral program Retirement plan Bonus opportunities Hybrid or remote work may be available based on organizational needs and position requirements If you have healthcare revenue cycle or authorization experience and want to contribute to an organization focused on improving access to mental health services, we'd love to meet you.

Work Location:

Hybrid / In person

Pay:

From $65,000.00 per year

Benefits:

Dental insurance Health insurance Health savings account Life insurance Paid time off Parental leave Referral program Retirement plan Vision insurance

Work Location:

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