drjobs Lead Authorizations Coordinator

Lead Authorizations Coordinator

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1 Vacancy
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Job Location drjobs

Van Nuys, CA - USA

Hourly Salary drjobs

$ 27 - 30

Vacancy

1 Vacancy

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 Lead is responsible for overseeing the end-to-end authorization process to ensure accurate timely and efficient management of client authorizations across all funders. The Authorizations Lead acts as the primary point of contact for escalations supports the team in meeting productivity and quality standards and collaborates with internal departments local offices and payors to ensure process consistency and drive improved outcomes.

Role Responsibilities

  • Provide day-to-day leadership and oversight of the authorization team and process.
  • Monitor workload distribution and ensure compliance with established workflows and timelines.
  • Serve as subject matter expert on all aspects of authorization requirements processes and systems.
  • Act as the escalation point for complex delayed or problematic authorization cases.
  • Manage and maintain tools supporting the authorization function.
  • Oversee the submission of reauthorization requests to payors ensuring appropriate documentation per funder guidelines.
  • Monitor and follow up on pending authorizations escalate when necessary.
  • Stay up to date on funder requirements and communicate changes to relevant teams.
  • Serve as the primary contact for Operations leadership regarding authorization-related inquiries.
  • Collaborate with offices to address overdue reports and documentation needs.
  • Communicate regularly with payors to resolve outstanding items and ensure receipt of approvals.
  • Oversee shared mailboxes and timely distribution of incoming authorization related documents.
  • Sort disseminate and process mail related to authorizations to ensure timely processing.

Must Haves

  • High School Diploma or GED (minimum).
  • Minimum of 1 year experience with processing authorizations.
  • Minimum of 1 year of experience working with insurance companies regional centers or other payors.
  • Minimum of 1 year experience in Customer Service.
  • 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 Clients family members and Payors.

Nice to haves

  • Supervisory or lead experience

What we offer

  • Competitive compensation (we value transparency) $27$30/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

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