Prior Authorization Specialist Job at On Demand / New Day Recovery LLC, Niles, OH

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  • On Demand / New Day Recovery LLC
  • Niles, OH

Job Description

Job Description

Job Description

Salary:

New Day Recovery in Niles, Ohio is seeking a qualified Authorization Specialist for a full-time position working Sunday - Thurs. The Authorization Specialist position will be utilized to facilitate linkages between agencies, actively work with clients to determine treatment needs, coordinate with treatment team to come up with plan of care, work within client health record to document services. This position has room to work within employee strengths. Some interests of our agency are in financial counseling, wellness coaching, and nutritional education, among others. Must be able to develop working relationships with our clients and show them that we truly care about their wellbeing. The case manager will work very closely with the rest of the clinical and medical treatment team to aid clients in a variety of needs.

Summary

The Prior Authorization Specialist will be scheduled Sunday - Thursday and is responsible for working with the admissions team on new clients coming into the facility, reviewing their insurance coverage, and submitting prior authorizations as needed.

Essential Functions:

  • Checking insurance eligibility on all new clients
  • Submitting notice of admissions to the insurance company within 24 hours of admission
  • Submitting prior authorization by the next business day when needed.
  • Following up on notice of admissions and Prior authorizations daily

Required Qualifications:

  • Strong understanding of insurances, prior authorization requirements, and the billing process when a prior authorization is needed.
  • Must work well with a team, as well as highly motivated to problem solve and accomplish work independently.
  • Must have experience with CPT/ICD-10 codes

Essential Knowledge, Skills, Abilities and other attributes:

  • Experience in Behavioral Health is a plus
  • Understanding of laws and best practices
  • Proficient in MS office and data entry, working knowledge of EMR/HER software
  • Great attention to detail
  • Excellent ability to organize and coordinate tasks.

Job Tags

Full time, Temporary work, Sunday,

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