Authorizations Coordinator
Authorizations Coordinator
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Job Description
Who are we
At 360 Behavioral Health we take pride in our long-standing commitment to providing exceptional care for individuals impacted by autism and other developmental delays. With over three decades of expertise we are one of the original and most established Applied Behavior Analysis (ABA)-based behavioral health services authorities.Today 360 Behavioral Health is one of the top ABA enhanced personal assistance and respite providers in the United States. The commitment dedication and approach to care that guided our founders when they opened their doors continues to guide all we do today. Our devotion to their philosophy landed us on the list for The 5 Best ABA Therapy Providers for 2023 and to us being labeled as a certified Best Place To Work!
What would this role do
The Authorizations Coordinator plays a key role in ensuring timely and accurate processing of insurance authorizations for potential new clients. The Authorizations Coordinator is responsible for obtaining tracking and maintaining authorizations for ongoing treatment working closely with clinicians insurance providers and internal teams to avoid disruptions in client care.
Role Responsibilities
- Retrieve and review reports from Lumary to ensure completeness and accuracy of client information.
- Submit reauthorization requests to payors ensuring all required documentation is included and aligned with payor-specific guidelines.
- Communication regularly with Operations Leadership regarding authorization-related inquiries.
- Collaborating with Operations on overdue reports.
- Provide Operations up-to-date payor documentation such as treatment forms and guidelines
- Monitor and follow up with Operations on clients who have not been seen within a 2-week authorization gap.
- Maintain up-to-date payor documentation (e.g. treatment forms guidelines).
- Accurately enter and verify authorization data from multiple sources (e.g. payor portals email fax phone) into Lumary and other internal systems
- Verify authorization documentation for accuracy prior to system entry.
- Manage contact and authorization deactivations in HiRasmus Lumary and other applicable systems.
- Other duties as assigned.
Must Haves
- High School Diploma or GED (minimum).
- Minimum of 1 year experience with processing authorizations.
- Ability to work collaboratively with a multidisciplinary team.
- Excellent clinical and leadership skills.
- Fluency with all Microsoft Office programs.
- Self-motivated responsible honest articulate excellent time management skills and skills to work independently.
- Professional demeanor well-organized and attention to detail.
- Demonstrate effective communication skills to interact with local clinics and Payors.
What we offer
- Competitive compensation (we value transparency) $2225/hour
- Student loan repayment assistancefor eligible roles
- Bonus program(s)for eligible roles
- Career development and advancement opportunities
- Great and fun company culture
- Expansive Health Vision and Dental plans for our full-time partners
- 401(K) retirement savings program
- Mileage and phone reimbursement
- And so much more!
360 Behavioral Healthis an equal opportunity employer. If anyone is unable to fully access any portion of the 360 Behavioral Health on-line system we are committed to providing reasonable accommodations. Please contact us at for assistance.
EEO/Minorities/Females/Disabled/Veterans
Our organization is an equal employment/affirmative action employer. If you need accommodation for any part of the employment process because of a medical condition or disability please send an e-mail toto let us know the nature of your more EEO information about applicant rightsclick here.
AmericansWith Disabilities Act
360 Behavioral Health does not discriminate on the basis of disability in its services programs or activities. Employment: 360 Behavioral Health does not discriminate based on disability in its hiring or employment practices and complies with the ADA title I employment regulations. Effective Communication: 360 Behavioral Health will upon request provide auxiliary aids and services leading to effective communication for people with disabilities including qualified sign language interpreters assistive listening devices documents in Braille and other ways of making communications accessible to people who have speech hearing or vision impairments. Modifications to Policies and Procedures: 360 Behavioral Health will make reasonable modifications to policies and procedures to ensure that people with disabilities have an equal opportunity to enjoy programs services and activities. For example people with service animals are welcomed in 360 Behavioral Health offices even where pets and other animals are prohibited. Requests: To request an auxiliary aid or service for effective communication or a modification of policies or procedures contact ADA Coordinator name and contact information as soon as possible preferably 30 days before the activity or event. For inquiries please contact us at
Required Experience:
IC
Employment Type
Full-Time
