Prior Authorization Specialist

Canton, OH - USA

Monthly Salary: Not Disclosed

Posted on: Yesterday

Vacancies: 1 Vacancy

Job Summary

Prior Authorization Specialist

Real-world impact. Life-changing outcomes.

CommQuest seeks a Full-time Prior Authorization Specialist. The Prior Authorization Specialist is responsible for securing prior authorizations for behavioral health services ensuring that all necessary approvals are obtained from insurance companies before services are provided. The role involves collaborating with clinical staff clients and insurance providers to maintain compliance with payor guidelines reduce denials and ensure smooth reimbursement for services rendered.

In this role you will:

Grow professionally
Build valuable relationships
Work on a team providing exceptional care
Make a real difference

What is CommQuest

CommQuest Services is one of the largest non-profit mental health addiction recovery and social services organizations in Northeast Ohio working with clients from more than 34 counties in 12 facilities through more than 20 programs. We help people make positive changes in their lives through in-patient outpatient and school-based programs along with supportive services - from basic needs to employment assistance.

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What you gain:

Great experience in the behavioral health and substance abuse field.
Visibility into how our community supports those in need.
Opportunities to share your expertise.
Peace of mind knowing you are benefiting the clients we serve and the community at large.

What youll do:

Obtain prior authorizations including commercial payor sources
Insurance Verification
Compliance maintenance
Quality File Reviews
Denial Data and Reporting management.

Schedule:

M-F 8:00 AM - 4:00 PM (some flexibility).

Minimum Qualifications:

Masters degree in Counseling Social Work Psychology Marriage and Family Therapy or a related field required.
Current and valid licensure as a Licensed Professional Clinical Counselor (LPCC) Licensed Clinical Social Worker (LCSW) Licensed Marriage and Family Therapist (LMFT) the state of Ohio required.
Minimum of 2 years of experience in counseling medical billing prior authorizations or insurance verification in a healthcare or behavioral health setting required.
Experience working with electronic health records (EHR) and billing software.
Valid drivers license and reliable transportation

Full-Time Benefits:

Generous time off including Mental Health days
10 paid holidays annually
Retirement plan with company match
Medical Dental and Vision plans
CEU/Licensure reimbursement and more!

We are an equal opportunity employer. All applicants will be considered for employment without regard to age race color religion sex sexual orientation gender identity national origin and veteran or disability status.

Required Experience:

Prior Authorization SpecialistReal-world impact. Life-changing outcomes. CommQuest seeks a Full-time Prior Authorization Specialist. The Prior Authorization Specialist is responsible for securing prior authorizations for behavioral health services ensuring that all necessary approvals are obtained f...