Pre-Authorization Administrator

About the Company Full Circle Recovery Services is an outpatient treatment center dedicated to making a real difference in Dayton and its surrounding areas. With a personalized approach to care, we focus on addressing the individuals' unique needs of those struggling with addiction. Our programs are designed to help clients overcome life's challenges, eliminate barriers, and combat the stigma surrounding their addiction. Position Summary Under the supervision of the Billing Manager, the Pre-Authorization Administrator will play a pivotal role in managing all pre-authorizations for services intended to be billed by the company. This role requires a proactive individual with strong problem-solving skills and a keen eye for detail. Key Responsibilities Obtain and process required pre-authorizations for Partial Hospitalization Program (PHP) and Residential treatment services. Submit and track pre-authorization requests with insurance providers to ensure timely approvals. Follow up with payers regarding pending or incomplete pre-authorization requests. Identify trends or issues contributing to denied or delayed pre-authorizations and recommend process improvements to reduce denials. Communicate relevant pre-authorization updates, concerns, or requirements to the Billing Manager and Clinical Director as appropriate. Maintain accurate documentation related to pre-authorization activity in accordance with company policies and payer requirements. Perform other duties as assigned to support business needs.

Qualifications and Education Requirements:

Maintain CDCA licensure. Strong analytical and problem-solving skills. Strong organizational abilities, with attention to detail and the ability to manage multiple tasks simultaneously. Effectively present information and respond to questions from a diverse demographic group. Basic understanding of regulatory compliance requirements and procedures preferred. Must be able to lift, push, pull or move up to 50lbs. The first 90 days will be fully in-office . After this initial period, the role will transition to a hybrid schedule. This position may require the use of a Company or personal vehicle. Candidates must have a valid driver's license and possess the ability to comply with company auto insurance policy. Full Circle Recovery Services is a

Drug-Free Workplace:

The Medical Marijuana Registration Card is not accepted for any employee.

Pay:

From $22.00 per hour People with a criminal record are encouraged to apply

License/Certification:

License:

CDCA (Required) Driver's License (Required)

Work Location:

Hybrid remote in Dayton, OH 45459