Authorization Specialist

SpringHealth Behavioral Health and Integrated Care

Responsible for obtaining and tracking authorization for all patients for whom their insurance requires pre[1]authorization, and ensuring the agency has the authorization required to bill for services provided.

Answer telephones and provide excellent customer service to our professional staff and insurance representatives
• Run and utilize computer reports regularly
• Observe confidentiality and safeguard all patient related information
• Provide accurate, complete updates to Agency management on status of authorizations for all patients requiring treatment authorization
• Ensures authorization is obtained and tracked for all patients whose insurance requires pre-authorization
• Is responsible for seeing that objectives are implemented, follows, and promotes agency policies and procedures
• Ensure all authorization requests are documented clearly
• Participate in the orientation and education of other employees as relates to Authorization department
• Observes confidentiality and safeguard all patient related information
• Notifies Supervisor of problems in a timely manner and works to help provide solutions
• Completes ongoing education requirements and demonstrates ongoing competency in required areas
• Other duties as assigned

• High school graduate or GED
• Minimum of one year of experience in Health Care billing and/or authorization practices
• General knowledge of the framework, organization, and function of home care
• Sound knowledge of health care operations and third-party reimbursement
• Proficient in the use of Microsoft Office (Word, Excel, Outlook, Internet Explorer) with the ability to learn industry specific software applications
• Solid organizational skills, thoroughness, and a keen attention to detail with the ability to multi-task while prioritizing effectively
• Ability to work independently and in a team environment
• Excellent, oral, written, and interpersonal communication skills
• Professional appearance and demeanor

Ideal candidate would have ABA background in billing or authorizations